DANIEL WICKHAM

LENEXA, KS
NPI1902376205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KS  4814)
Enumeration Date2018-11-29
Last Update Date2018-11-29
Business Address
DANIEL WICKHAM LSCSW
16979 W 94TH ST
LENEXA, KS 66219
Phone number: 785-640-2411
Mailing Address
DANIEL WICKHAM LSCSW
16979 W 94TH ST
LENEXA, KS 66219
Phone number:
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