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Individual

DR. PHYLLIS K. HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D. MIN., NCLPC

Contact information

Practice address
3325 DURHAM CHAPEL HILL BLVD STE 220, DURHAM, NC 27707-2646
(919) 489-6452
Mailing address
100 MARKHAM DR, CHAPEL HILL, NC 27514-2114
(919) 968-7671

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
459
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42188
BCBS OF NC
NC
Enumeration date
05/08/2007
Last updated
07/08/2007
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