Diane Hayward Wickham, L.P.C.

NPI #1376761684 in Lincoln Park, Michigan

Provider Information

NPI Number: 1376761684
Entity Type: Individual
Name: Diane Hayward Wickham, L.P.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: L.P.C.
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 26300 OUTER DR.
City: Lincoln Park
State: Michigan
ZIP Code: 48146
Phone: (313) 388-4630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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