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1952935116
JONATHAN MAURICE WICKS
COVINA, CA
NPI
1952935116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 87395)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
JONATHAN MAURICE WICKS ASW
943 N GRAND AVE
COVINA, CA 91724-2046
Phone number: 626-665-6431
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Mailing Address
JONATHAN MAURICE WICKS ASW
112 HARVARD AVE # 395
CLAREMONT, CA 91711-4716
Phone number:
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