Tracy Wickland, LMSW

NPI #1205247335 in Wayne, Michigan

Provider Information

NPI Number: 1205247335
Entity Type: Individual
Name: Tracy Wickland, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LMSW
Enumeration Date: May 12, 2014
Last Updated: Mar 12, 2024

Practice Location

Address: 3001 4TH ST
City: Wayne
State: Michigan
ZIP Code: 48184-1358
Phone: (734) 419-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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