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1861252876
KYRA JO WICK
PORTLAND, OR
NPI
1861252876
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Former Name
KYRA JO FAWCETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 17862)
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
KYRA JO WICK M.S., CFY-SLP
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number: 503-256-6500
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Mailing Address
KYRA JO WICK M.S., CFY-SLP
5208 NE 122ND AVE
PORTLAND, OR 97230-1074
Phone number: 503-256-6500
Copy
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