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1255197604
KARA ROSE ICKES
RAEFORD, NC
NPI
1255197604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ND P020244)
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
KARA ROSE ICKES
402 HARRIS AVE
RAEFORD, NC 28376-3112
Phone number: 910-875-5590
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Mailing Address
KARA ROSE ICKES
402 HARRIS AVE
RAEFORD, NC 28376-3112
Phone number: 910-875-5590
Copy
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