MICHAEL WICKERSHAM

SALT LAKE CITY, UT
NPI1932572161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9428093-3502)
Enumeration Date2015-11-10
Last Update Date2016-06-20
Business Address
-- MICHAEL WICKERSHAM
3970 S 700 E STE 17
SALT LAKE CITY, UT 84107-2583
Phone number: 801-639-9544
Mailing Address
-- MICHAEL WICKERSHAM
3970 S 700 E STE 17
SALT LAKE CITY, UT 84107-2583
Phone number: 801-639-9544
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