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1912746009
KAYGEN KAY DEITRICK
WAVERLY, IA
NPI
1912746009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 124975)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
KAYGEN KAY DEITRICK LMSW
2022 3RD AVE NW
WAVERLY, IA 50677-2010
Phone number: 319-596-5910
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Mailing Address
KAYGEN KAY DEITRICK LMSW
3337 KIPLING RD
WATERLOO, IA 50701-9187
Phone number: 319-429-2465
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