JOSEPH RONALD WICKS

COBURG, OR
NPI1851982383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T-21-562)
Enumeration Date2021-01-28
Last Update Date2021-01-28
Business Address
JOSEPH RONALD WICKS
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
JOSEPH RONALD WICKS
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
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