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1659558005
SHANNON TROY HICKS
MEMPHIS, TN
NPI
1659558005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: LA 38504)
Enumeration Date
2008-01-29
Last Update Date
2008-01-29
Business Address
Mr. SHANNON TROY HICKS CTRS
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Mr. SHANNON TROY HICKS CTRS
7820 FREEHOLD DR
MEMPHIS, TN 38125-3254
Phone number: 901-523-8990
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