NANNETTE LOUISE HICKS

PEORIA, AZ
NPI1598192296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC11455)
Enumeration Date2013-09-26
Last Update Date2013-10-15
Business Address
-- NANNETTE LOUISE HICKS LISAC
8727 W WETHERSFIELD RD
PEORIA, AZ 85381-8111
Phone number: 602-509-4675
Mailing Address
-- NANNETTE LOUISE HICKS LISAC
8727 W WETHERSFIELD RD
PEORIA, AZ 85381-8111
Phone number: 602-509-4675
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