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MARY SHICKICH, MD PLLC

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Company Details

Legal Name: MARY SHICKICH, MD PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 10th 2021
Expiration date: 31 Mar 2026
UBI Number: 604 720 663
ZIP code: 98119
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 210 W GALER ST, SEATTLE, WA, 98119-3332, UNITED STATES

Contact Details

E-Mail: MARYSHICKICHMD@GMAIL.COM
Phone Number: +1 206-586-8390

Nature of Business

PSYCHIATRY PRACTICE

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Registered Agent Information

Name Role
CORPSERVE, INC. Registered Agent

Key Officers & Management

Name Role Address
MARY SHICKICH MD Governing Person -
RACHEL SCHAEFER EXECUTOR 1001 4TH AVE STE 4500, SEATTLE, WA, 98154-1192, UNITED STATES

National Provider Identifier

NPI Number:
1053081174
Certification Date:
2021-09-20

Authorized Person:

Name:
MARY SHICKICH
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

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