Individual
MR. JAMES LEE HICKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SWA
Contact information
Practice address
4826 CRANBERRY AVE NW, CANTON, OH 44709-1317
(330) 338-3784
Mailing address
4826 CRANBERRY AVE NW, CANTON, OH 44709-1317
(330) 338-3784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
W1800121
OH
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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