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Individual
KENNETH JOHN KATRICAK I
Active
Individual
KENNETH JOHN KATRICAK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C1801465
OH
163WG0000X
General Practice Registered Nurse
RN212255
OH
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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