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Individual
ROBIN L LICKEL
Active
Individual
ROBIN L LICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15268-132
WI
101YP2500X
Professional Counselor
Primary
436-226
WI
Other
Enumeration date
02/14/2007
Last updated
09/02/2016
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