Michael Jason Wickham, LCSW

NPI #1750774741 in Florida, New York

Provider Information

NPI Number
1750774741
Entity Type
Individual
Name
Michael Jason Wickham, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 14, 2015
Last Updated
Sep 28, 2023

Practice Location

Address
118 GLENMERE AVE
ZIP Code
10921-1210
Phone
(845) 741-9399

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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