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1245724020
KATHRYN LYNNE HICKOK MANNEBACH
GRAND RAPIDS, MI
NPI
1245724020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801091668)
Enumeration Date
2018-06-15
Last Update Date
2023-06-22
Business Address
KATHRYN LYNNE HICKOK MANNEBACH LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 269-330-4963
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Mailing Address
KATHRYN LYNNE HICKOK MANNEBACH LMSW
75 DIAMOND AVE NE
GRAND RAPIDS, MI 49503-3602
Phone number: 269-330-4963
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