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1740692631
ATHENA LICKEL
MADISON, WI
NPI
1740692631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WI 3008-57)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- ATHENA LICKEL Ph.D.
1500 HIGHLAND AVE
MADISON, WI 53705-2274
Phone number: 608-890-3077
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Mailing Address
-- ATHENA LICKEL Ph.D.
1500 HIGHLAND AVE
MADISON, WI 53705-2274
Phone number: 608-890-3077
Copy
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