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1104518661
JACOB HICKS
MARIETTA, GA
NPI
1104518661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC013766)
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
JACOB HICKS LPC
2480 WINDY HILL RD SE STE 210
MARIETTA, GA 30067-8644
Phone number: 404-692-3615
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Mailing Address
JACOB HICKS LPC
2480 WINDY HILL RD SE STE 210
MARIETTA, GA 30067-8644
Phone number: 404-692-3615
Copy
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