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1205371978
KELLIE HICKSON
EUGENE, OR
NPI
1205371978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-04
Last Update Date
2025-06-24
Business Address
KELLIE HICKSON
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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Mailing Address
KELLIE HICKSON
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401-7900
Phone number: 541-393-0777
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