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1174086011
KEELIN HICKS
LONG BEACH, CA
NPI
1174086011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1295110318)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
KEELIN HICKS
5190 ATLANTIC AVE
LONG BEACH, CA 90805-6510
Phone number: 562-428-4111
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Mailing Address
KEELIN HICKS
5867 CALIFORNIA AVE
LONG BEACH, CA 90805-4120
Phone number: 562-713-0395
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