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Individual

JUNITA HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 CRESSMONT ST, BOSSIER CITY, LA 71111-5759
(580) 304-2878
Mailing address
1010 CRESSMONT ST, BOSSIER CITY, LA 71111-5759
(580) 304-2878

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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