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1730677386
IXCHELLE QUEELEY HICKS
ORLANDO, FL
NPI
1730677386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-30
Last Update Date
2018-04-30
Business Address
IXCHELLE QUEELEY HICKS
1002 N SEMORAN BLVD
ORLANDO, FL 32807-3531
Phone number: 407-275-8939
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Mailing Address
IXCHELLE QUEELEY HICKS
1700 COUNTRY TERRACE LN
APOPKA, FL 32703-5050
Phone number: 407-810-4457
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