Individual
DAN PARKER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 STATE RD, PLYMOUTH, MA 02360-5133
(774) 343-2808
Mailing address
1123 STATE RD, PLYMOUTH, MA 02360-5133
(774) 343-2808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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