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1437360138
JOSEPHINE HICKS
YUCCA VALLEY, CA
NPI
1437360138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-24
Last Update Date
2013-05-23
Business Address
-- JOSEPHINE HICKS
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
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Mailing Address
-- JOSEPHINE HICKS
71844 OLD CHISHOLM TRL
TWENTYNINE PALMS, CA 92277-5912
Phone number: 760-819-1315
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