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1033807631
KORTNEE NICHOLE KICA
EVERETT, WA
NPI
1033807631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-05-01
Last Update Date
2024-10-28
Business Address
KORTNEE NICHOLE KICA
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number: 425-259-3191
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Mailing Address
KORTNEE NICHOLE KICA
1560 WEMBLEY DR
DOUGLASVILLE, GA 30134-6445
Phone number: 140-252-1056
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