JUSTIN ALEX KICOS

CANTON, OH
NPI1699456582
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-07-25
Last Update Date2024-01-30
Business Address
JUSTIN ALEX KICOS
4641 FULTON DR NW
CANTON, OH 44718-2384
Phone number: 330-454-7917
Mailing Address
JUSTIN ALEX KICOS
3221 MARINERS ISLAND DR NW APT H
CANTON, OH 44708-3090
Phone number: 330-418-1401