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1801025911
KEVIN L WICKES
COLUMBIA, SC
NPI
1801025911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 3694)
Enumeration Date
2009-07-09
Last Update Date
2009-07-09
Business Address
Dr. KEVIN L WICKES Ph.D.
9 RICHLAND MEDICAL PARK DR SUITE 440
COLUMBIA, SC 29203-6859
Phone number: 803-434-2767
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Mailing Address
Dr. KEVIN L WICKES Ph.D.
9 RICHLAND MEDICAL PARK DR SUITE 440
COLUMBIA, SC 29203-6859
Phone number: 803-434-2767
Copy
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