MARISSA WICKLUND NPI 1033457742

NPI Information

Marissa Wicklund is a day training habilitation specialist in Las Vegas, NV. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Marissa Wicklund NPI is 1033457742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7017 CARMEN BLVD
LAS VEGAS, NV
ZIP 89128-406
Phone: (702) 445-5995

The enumeration date for this NPI number is 1/30/2013 and was last updated on 1/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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