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1548703614
KRUSHAUD HICKS
RIVERSIDE, CA
NPI
1548703614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-11-22
Last Update Date
2022-12-30
Business Address
KRUSHAUD HICKS
2155 CHICAGO AVE STE 203
RIVERSIDE, CA 92507-2209
Phone number: 951-357-6926
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Mailing Address
KRUSHAUD HICKS
2155 CHICAGO AVE STE 203
RIVERSIDE, CA 92507-2209
Phone number: 951-357-6926
Copy
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