MRS. Jennifer Marie Wickersham, L.P.C.
NPI #1023314168 in Webster Groves, Missouri
Provider Information
- NPI Number
- 1023314168
- Entity Type
- Individual
- Name
- MRS. Jennifer Marie Wickersham, L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C.
- Enumeration Date
- Feb 8, 2011
- Last Updated
- May 31, 2024
Practice Location
- Address
- 69 TURF CT
- City
- Webster Groves
- State
- Missouri
- ZIP Code
- 63119-4619
- Phone
- (314) 651-2179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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