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1356320212
WALLACE KENT HICKS
LOUISVILLE, KY
NPI
1356320212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: KY KY 0227)
Enumeration Date
2006-01-10
Last Update Date
2011-01-06
Business Address
-- WALLACE KENT HICKS Ed.D.
7400 NEW LA GRANGE RD STE 312
LOUISVILLE, KY 40222-4870
Phone number: 502-394-9990
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Mailing Address
-- WALLACE KENT HICKS Ed.D.
7400 NEW LA GRANGE RD STE 312
LOUISVILLE, KY 40222-4870
Phone number: 502-394-9990
Copy
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