KRISTI ICKES

PEORIA, AZ
NPI1508178278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  12185)
Enumeration Date2010-07-09
Last Update Date2010-07-09
Business Address
-- KRISTI ICKES LCSW
8155 W THUNDERBIRD RD
PEORIA, AZ 85381-4159
Phone number: 623-336-0164
Mailing Address
-- KRISTI ICKES LCSW
PO BOX 3066
PEORIA, AZ 85380-3066
Phone number: 623-336-0164
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