KENDALL RAYE HICKSON

EUGENE, OR
NPI1306288246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   16-05-22)
Enumeration Date2013-07-19
Last Update Date2019-04-09
Business Address
KENDALL RAYE HICKSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4172
Mailing Address
KENDALL RAYE HICKSON
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-762-4556
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