Individual
JOHN B HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18714 RIVER FORD DR, DAVIDSON, NC 28036-8816
(704) 765-4880
Mailing address
18714 RIVER FORD DR, DAVIDSON, NC 28036-8816
(704) 765-4880
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
9941
NC
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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