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1811136948
LESLIE HICKS
LOS ANGELES, CA
NPI
1811136948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- LESLIE HICKS
1704 W MANCHESTER AVE STE 103
LOS ANGELES, CA 90047-3056
Phone number: 323-751-4778
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Mailing Address
-- LESLIE HICKS
11020 S OSAGE AVE APT 9
INGLEWOOD, CA 90304-2466
Phone number: 323-751-4778
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