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Individual

BERNICE M HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3424 PICKET FENCE LN, MYRTLE BEACH, SC 29579-3323
(919) 758-9402
Mailing address
3424 PICKET FENCE LN, MYRTLE BEACH, SC 29579-3323
(919) 758-9402

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
SC

Other

Enumeration date
01/10/2023
Last updated
01/27/2023
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