Katie Ickes
Katie Ickes is a Clinical Social Worker in Wyoming, Michigan. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
255 Colrain St SW Ste 2Wyoming, MI 49548-1057
Phone: (616) 988-1479
Fax: (616) 988-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1932590486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2015 |
| Last updated in NPPES | February 5, 2015 |
| Mailing address | 1939 Division Ave S, Grand Rapids, MI 49507-2459 |
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