Individual
KATHERINE ICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C
Contact information
Practice address
6346 SW 41ST ST, MIAMI, FL 33155-5103
(501) 416-9414
Mailing address
6346 SW 41ST ST, MIAMI, FL 33155-5103
(501) 416-9414
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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