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Individual
MR. EDMOND BRYAN HICKS JR.
Active
Individual
MR. EDMOND BRYAN HICKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025992102
—
TX
Enumeration date
05/24/2007
Last updated
06/09/2011
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