Johannah Logan Wickham

NPI #1316581770 in Lowell, Arkansas

Provider Information

NPI Number: 1316581770
Entity Type: Individual
Name: Johannah Logan Wickham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 406A ASH ST
City: Lowell
State: Arkansas
ZIP Code: 72745-9629
Phone: (479) 879-4241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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