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Individual
DEVON M HICKS
Active
Individual
DEVON M HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW0767
CA
164W00000X
Licensed Practical Nurse
VN246830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5155
SIMON STAFF NUMBER
CA
Enumeration date
05/24/2007
Last updated
06/29/2010
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