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1265159222
KATHARINE WICKEL DIDERICKSEN
LAS VEGAS, NV
NPI
1265159222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: NC 1635)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
Dr. KATHARINE WICKEL DIDERICKSEN PhD, LMFT
451 CRESTDALE LN APT 131
LAS VEGAS, NV 89144-1014
Phone number: 801-602-6815
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Mailing Address
Dr. KATHARINE WICKEL DIDERICKSEN PhD, LMFT
451 CRESTDALE LN APT 131
LAS VEGAS, NV 89144-1014
Phone number: 801-602-6815
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