Michael Wickersham
Michael Wickersham is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
Practice location Address checks out
3970 S 700 E Ste 17Salt Lake City, UT 84107-2583
Phone: (801) 639-9544
Fax: (801) 263-4333
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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 9428093-3502 (UT) |
|---|
Record details
| NPI number | 1932572161 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 10, 2015 |
| Last updated in NPPES | June 20, 2016 |
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