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1891272506
CASSIE ANN ICENOGLE
LACEY, WA
NPI
1891272506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-07-25
Last Update Date
2021-09-08
Business Address
MRS. CASSIE ANN ICENOGLE LMHC
6326 MARTIN WAY E STE 200
LACEY, WA 98516-5570
Phone number: 360-506-4886
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Mailing Address
MRS. CASSIE ANN ICENOGLE LMHC
PO BOX 5153
LACEY, WA 98509-5153
Phone number: 360-506-4886
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