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1376905943
THERESA WICKLUND
FLORENCE, KY
NPI
1376905943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-03-23
Last Update Date
2020-05-21
Business Address
THERESA WICKLUND
4900 HOUSTON RD
FLORENCE, KY 41042-4824
Phone number: 859-655-1195
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Mailing Address
THERESA WICKLUND
4900 HOUSTON RD
FLORENCE, KY 41042-4824
Phone number: 859-655-1195
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