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1023214756
COLLEEN ELIZABETH HICKS
OLYMPIA, WA
NPI
1023214756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00007231)
Enumeration Date
2007-06-21
Last Update Date
2007-07-08
Business Address
-- COLLEEN ELIZABETH HICKS MA LMCH
3525 ENSIGN RD NE MEDICAL RESOURCE CENTER SUITE G
OLYMPIA, WA 98506
Phone number: 360-438-7188
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Mailing Address
-- COLLEEN ELIZABETH HICKS MA LMCH
PO BOX 1172
TENINO, WA 98589
Phone number: 360-438-7188
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