DWAYNE HICKS

NEW BRIGHTON, MN
NPI1225373400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  302645)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- DWAYNE HICKS LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
Mailing Address
-- DWAYNE HICKS LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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