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1982009767
COREY HICKS
JACKSONVILLE, FL
NPI
1982009767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 12067)
Enumeration Date
2014-10-23
Last Update Date
2014-10-23
Business Address
-- COREY HICKS M. Ed. CCC-SLP
11512 LAKE MEAD AVENUE SUITE 604
JACKSONVILLE, FL 32256
Phone number: 904-652-5408
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Mailing Address
-- COREY HICKS M. Ed. CCC-SLP
653 MONUMENT ROAD APT 1102
JACKSONVILLE, FL 32225
Phone number: 229-798-3848
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