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Individual
MRS. MARIE CATHRYN WICKS
Active
Individual
MRS. MARIE CATHRYN WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA BCBA LBS
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21731
PA
103K00000X
Behavior Analyst
Primary
BH003069
PA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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