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1194497891
THOMAS HICKS
STOCKTON, CA
NPI
1194497891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
THOMAS HICKS SUDRC
445 W WEBER AVE STE 129
STOCKTON, CA 95203-3146
Phone number: 209-451-3628
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Mailing Address
THOMAS HICKS SUDRC
445 W WEBER AVE STE 129
STOCKTON, CA 95203-3146
Phone number: 209-451-3628
Copy
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