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1619272796
EDWARD LEE HICKS
RICHMOND, CA
NPI
1619272796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-01-20
Last Update Date
2011-01-20
Business Address
-- EDWARD LEE HICKS
820 23RD ST.
RICHMOND, CA 94804
Phone number: 510-229-5000
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Mailing Address
-- EDWARD LEE HICKS
820 23RD ST.
RICHMOND, CA 94804
Phone number: 510-229-5000
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