JEVON Z HICKS

NEWARK, DE
NPI1326358128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: DE  1100)
Enumeration Date2010-10-14
Last Update Date2022-02-16
Business Address
JEVON Z HICKS
9 KENT PL
NEWARK, DE 19702-6918
Phone number: 551-208-2576
Mailing Address
JEVON Z HICKS
9 KENT PL
NEWARK, DE 19702-6918
Phone number: 551-208-2576