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1386927424
FREDERICK KENNETH ICKES
LYNCHBURG, VA
NPI
1386927424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: VA 0701004890)
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
FREDERICK KENNETH ICKES LPC
620 COURT ST FIFTH FLOOR
LYNCHBURG, VA 24504-1312
Phone number: 434-485-8861
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Mailing Address
FREDERICK KENNETH ICKES LPC
620 COURT ST FIFTH FLOOR
LYNCHBURG, VA 24504-1312
Phone number: 434-485-8861
Copy
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