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Rachelle Wicker, LCSW

Social Worker, Clinical in Peachtree Corners, GA. Individual provider (NPI-1).

NPI number1083256366
StatusActive
Last updated in NPPESOct 8, 2019

Details

NPI
1083256366
Entity type
Individual (NPI-1)
Name
Rachelle Wicker
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2019
Last updated
Oct 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW005211GAYes

Practice location

1535 Holcomb Bridge Rd Apt C
Peachtree Corners, GA 30092-3209

Phone 404-585-0731

Mailing address

1535 Holcomb Bridge Rd Apt C
Peachtree Corners, GA 30092-3209

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