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Individual

MS. VIRGINIA ANNE HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT

Contact information

Practice address
16501 NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5040
(980) 505-3755
Mailing address
16501 NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5040
(980) 505-3755

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16615
NC
225700000X
Massage Therapist
2422-146
WI

Other

Enumeration date
03/07/2020
Last updated
03/07/2020
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