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1881044477
KATIE MCMICKIN
JACKSON, TN
NPI
1881044477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- KATIE MCMICKIN MSW
163 SUNNYSIDE DR
JACKSON, TN 38301
Phone number: 662-213-9652
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Mailing Address
-- KATIE MCMICKIN MSW
163 SUNNYSIDE DR
JACKSON, TN 38301
Phone number: 662-213-9652
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