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1497585772
AMANDA GAY HICKS
CLEARLAKE, CA
NPI
1497585772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
AMANDA GAY HICKS
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
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Mailing Address
AMANDA GAY HICKS
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
Copy
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