Wicker, Kelly A

Wicker, Kelly A is an sole proprietor health care provider with primary practice located at 29 Pauline St , North Dartmouth MA 02747-3427. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wicker, Kelly A can be contacted via phone (617) 833-9155.

Contact Information

Primary practice address
29 Pauline St North Dartmouth MA 02747-3427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1740413772
LBN Legal business name Wicker, Kelly A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2009
Last updated May 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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