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1053897363
KRISTEN K WICKE
AUSTIN, TX
NPI
1053897363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 76237)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
KRISTEN K WICKE MA, LPC
3700 S 1ST ST
AUSTIN, TX 78704-7046
Phone number: 512-735-2430
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Mailing Address
KRISTEN K WICKE MA, LPC
1607 WILLOW ST
AUSTIN, TX 78702-4405
Phone number: 512-560-8332
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