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1326358128
JEVON Z HICKS
NEWARK, DE
NPI
1326358128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE 1100)
Enumeration Date
2010-10-14
Last Update Date
2022-02-16
Business Address
JEVON Z HICKS
9 KENT PL
NEWARK, DE 19702-6918
Phone number: 551-208-2576
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Mailing Address
JEVON Z HICKS
9 KENT PL
NEWARK, DE 19702-6918
Phone number: 551-208-2576
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