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1427211465
EVELYN TERRY WICKS
AUBURN, CA
NPI
1427211465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: w0408271744)
Enumeration Date
2008-07-09
Last Update Date
2008-07-09
Business Address
-- EVELYN TERRY WICKS dui
11960 HERITAGE OAK PL STE 15
AUBURN, CA 95603-2401
Phone number: 530-885-1961
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Mailing Address
-- EVELYN TERRY WICKS dui
11960 HERITAGE OAK PL STE 15
AUBURN, CA 95603-2401
Phone number: 530-885-1961
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