MR. James Lee Hicks JR., SWA

NPI #1487149662 in Canton, Ohio

Provider Information

NPI Number
1487149662
Entity Type
Individual
Name
MR. James Lee Hicks JR., SWA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Credential
SWA
Enumeration Date
Jun 29, 2018
Last Updated
Jun 29, 2018

Practice Location

Address
4826 CRANBERRY AVE NW
City
Canton
State
Ohio
ZIP Code
44709-1317
Phone
(330) 338-3784

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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