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1003296427
TRACY HICKS
BARNWELL, SC
NPI
1003296427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
-- TRACY HICKS
1644 JACKSON ST
BARNWELL, SC 29812-2156
Phone number: 803-541-1245
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Mailing Address
-- TRACY HICKS
1644 JACKSON ST
BARNWELL, SC 29812-2156
Phone number: 803-541-1245
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