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1942449319
REGINA LANIECE HICKS
PORTLAND, OR
NPI
1942449319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-02-09
Last Update Date
2009-02-09
Business Address
-- REGINA LANIECE HICKS
3034 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
-- REGINA LANIECE HICKS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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