Gary Wickham
Gary Wickham is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
122 Ashland Pl Apt 16FBrooklyn, NY 11201-3912
Phone: (347) 458-4553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 058227 (NY) |
|---|
Record details
| NPI number | 1780277186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 17, 2021 |
| Last updated in NPPES | February 17, 2021 |
| Certification date | February 17, 2021 |
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