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1740576362
ANNELLE M HICKS
TIGARD, OR
NPI
1740576362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-22
Last Update Date
2011-06-22
Business Address
-- ANNELLE M HICKS
10313 SW 69TH AVE
TIGARD, OR 97223-9103
Phone number: 503-726-3690
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Mailing Address
-- ANNELLE M HICKS
117 N 29TH AVE
CORNELIUS, OR 97113-8517
Phone number: 503-597-3900
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