Most Relevant Information
Provider Data
NPI Number: | 1003072653 |
Provider Name: | NATALIE L WICKER LMSW, LADC |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/04/2008 |
Last Updated: | 09/22/2016 |
Provider Practice Location
600 EAST ST
NEW BRITAIN
CT
060512132
Practice Location Phone/Fax
Phone: | 2034409975 |
Fax: | 2034409288 |
Provider Mailing Location
168 S MAIN ST
UNIT A
CHESHIRE
CT
064103110
Provider Mailing Phone/Fax
Phone: | 2034409975 |
Fax: | 2034409288 |