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1780265876
TYRONE HICKS
ASHTABULA, OH
NPI
1780265876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 170348)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
TYRONE HICKS CDCA
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number: 440-650-5030
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Mailing Address
TYRONE HICKS CDCA
3418 LAKE AVE
ASHTABULA, OH 44004-5763
Phone number:
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