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1346809563
KAITLYN MARIE LICCION
EUGENE, OR
NPI
1346809563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-06-11
Last Update Date
2022-05-27
Business Address
KAITLYN MARIE LICCION
2145 CENTENNIAL PLZ
EUGENE, OR 97401-2474
Phone number: 541-485-6340
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Mailing Address
KAITLYN MARIE LICCION
3039 BRETT LOOP
EUGENE, OR 97404-3805
Phone number: 315-317-2585
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