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1912083304
CARRIE WICKS
PETALUMA, CA
NPI
1912083304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
221700000X Art Therapist
(Licence: CA 17154)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
CARRIE WICKS MA, ATR
1128 BIRCH DR
PETALUMA, CA 94952-1807
Phone number: 707-763-4278
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Mailing Address
CARRIE WICKS MA, ATR
1128 BIRCH DR
PETALUMA, CA 94952-1807
Phone number: 707-763-4278
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