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1669078887
KATHLEEN VIRGINIA POLK-ICKES
GIG HARBOR, WA
NPI
1669078887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-11
Last Update Date
2020-12-11
Business Address
KATHLEEN VIRGINIA POLK-ICKES MSC
3208 50TH STREET CT STE 202
GIG HARBOR, WA 98335-8583
Phone number: 253-280-9888
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Mailing Address
KATHLEEN VIRGINIA POLK-ICKES MSC
2306 197TH AVE SW
LAKEBAY, WA 98349-9797
Phone number: 140-689-9642
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