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1255776761
LACIE JORDAN HICKS
POMPANO BEACH, FL
NPI
1255776761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2013-05-10
Last Update Date
2013-05-10
Business Address
-- LACIE JORDAN HICKS
4301 N FEDERAL HWY SUITE 2 SOUTH BUTTERFLY EFFECTS LLC
POMPANO BEACH, FL 33064
Phone number: 888-880-9270
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Mailing Address
-- LACIE JORDAN HICKS
39 5TH ST
SHALIMAR, FL 32579-1858
Phone number: 850-420-3579
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