MS. Susan Evelyn Wickstrom, LCSW

NPI #1720093131 in Geneva, Illinois

Provider Information

NPI Number: 1720093131
Entity Type: Individual
Name: MS. Susan Evelyn Wickstrom, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 125 HAMILTON ST
City: Geneva
State: Illinois
ZIP Code: 60134-2235
Phone: (630) 232-2946

Specialties & Taxonomy Codes

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

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