TINA WICKERSHAM

SIOUX CITY, IA
NPI1982159125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  084138)
Enumeration Date2016-08-17
Last Update Date2016-08-17
Business Address
-- TINA WICKERSHAM LMHC Temp
4323 VINE AVE
SIOUX CITY, IA 51106-1958
Phone number: 712-202-0777
Mailing Address
-- TINA WICKERSHAM LMHC Temp
4323 VINE AVE
SIOUX CITY, IA 51106-1958
Phone number: 712-202-0777
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