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1184370413
MALEAH ALTA JADELLE HICKS
COLUMBIA, SC
NPI
1184370413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
MALEAH ALTA JADELLE HICKS
1320 MAIN ST STE 300
COLUMBIA, SC 29201-3266
Phone number: 877-418-2978
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Mailing Address
MALEAH ALTA JADELLE HICKS
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 877-418-2978
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