MS. SUSAN WICKSTROM, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1720093131
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | - |
Frequently Asked Questions
NPI 1720093131 is the National Provider Identifier for MS. SUSAN WICKSTROM, LCSW, a Social Worker - Clinical provider located in Geneva, IL. This NPI was enumerated on July 31, 2006.
MS. SUSAN WICKSTROM, LCSW practices at 125 HAMILTON ST, Geneva, IL 60134.
Quick Facts
- NPI
- 1720093131
- Type
- Individual
- Enumerated
- Jul 31, 2006
- Last Updated
- Jul 8, 2007
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