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1356425250
MARK T. HICKS
CHICAGO, IL
NPI
1356425250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-008604)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
-- MARK T. HICKS LCSW
3200 N BROADWAY ST SUITE K
CHICAGO, IL 60657-3515
Phone number: 773-262-5536
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Mailing Address
-- MARK T. HICKS LCSW
1324 W PRATT BLVD #2W
CHICAGO, IL 60626-5644
Phone number: 773-262-5536
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