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1659128791
TIMOTHY DALE HICKS
COLUMBUS, OH
NPI
1659128791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.187591)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
TIMOTHY DALE HICKS
3035 W BROAD ST
COLUMBUS, OH 43204-2653
Phone number: 614-272-7005
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Mailing Address
TIMOTHY DALE HICKS
3035 W BROAD ST
COLUMBUS, OH 43204-2653
Phone number: 614-272-7005
Copy
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