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1881474070
TINISHA WICKS
SAN FRANCISCO, CA
NPI
1881474070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-04
Last Update Date
2023-10-04
Business Address
TINISHA WICKS
1249 SCOTT ST
SAN FRANCISCO, CA 94115-4008
Phone number: 415-922-9104
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Mailing Address
TINISHA WICKS
1249 SCOTT ST
SAN FRANCISCO, CA 94115-4008
Phone number: 415-922-9104
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