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1093531402
KENNEDY R KIDRICK
CHEHALIS, WA
NPI
1093531402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61593286)
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
KENNEDY R KIDRICK
409 S MARKET BLVD # 11
CHEHALIS, WA 98532-3043
Phone number: 360-360-2195
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Mailing Address
KENNEDY R KIDRICK
409 S MARKET BLVD # 11
CHEHALIS, WA 98532-3043
Phone number: 360-360-2195
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