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1477890382
JEREMIAH WAYNE HICKS
STATE COLLEGE, PA
NPI
1477890382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: PA CW017437)
Enumeration Date
2013-01-11
Last Update Date
2017-10-18
Business Address
MR. JEREMIAH WAYNE HICKS LCSW, CAADC, CCDPD
1993 CATO AVE
STATE COLLEGE, PA 16801-2754
Phone number: 814-231-8820
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Mailing Address
MR. JEREMIAH WAYNE HICKS LCSW, CAADC, CCDPD
1993 CATO AVE
STATE COLLEGE, PA 16801-2754
Phone number: 814-231-8820
Copy
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