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1720304496
PAMELA WOOD HICKS
TYLER, TX
NPI
1720304496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11073)
Enumeration Date
2010-04-20
Last Update Date
2010-04-20
Business Address
-- PAMELA WOOD HICKS LCDC
3600 OLD BULLARD RD STE 402
TYLER, TX 75701-8662
Phone number: 903-509-4232
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Mailing Address
-- PAMELA WOOD HICKS LCDC
3600 OLD BULLARD RD STE 402
TYLER, TX 75701-8662
Phone number: 903-509-4232
Copy
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