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Individual

JUDITH ANN KOZICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
7600 NE 41ST ST, SUITE 310, VANCOUVER, WA 98662-6791
(360) 253-6425
Mailing address
7600 NE 41ST ST, SUITE 310, VANCOUVER, WA 98662-6791

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003474
WA

Other

Enumeration date
10/02/2006
Last updated
12/23/2011
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