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1497347884
COLLEEN KICKBUSH
MILWAUKEE, WI
NPI
1497347884
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Former Name
COLLEEN CURTIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2021-02-07
Last Update Date
2021-02-07
Business Address
COLLEEN KICKBUSH
9231 W MOUNT VERNON AVE
MILWAUKEE, WI 53226-4408
Phone number: 224-321-7007
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Mailing Address
COLLEEN KICKBUSH
9231 W MOUNT VERNON AVE
MILWAUKEE, WI 53226-4408
Phone number: 224-321-7007
Copy
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