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Andrea Wickus, PAC
NPI 1104881879 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5 S Centre Avenue
Leesport, PA 19533 - Phone
- (610) 926-5707
- Fax
- (610) 926-8352
- Organisation at this address
- Schuylkill Valley Family Practice Pc
Lifegrowth Marriage And Family Center
Berks Hypnosis And Counseling Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania