Most Relevant Information
Provider Data
NPI Number: | 1003276726 |
Provider Name: | AMY HICKS LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 3069 |
Most Important Dates
Enumeration Date: | 02/24/2016 |
Last Updated: | 02/24/2016 |
Provider Practice Location
10230 BONNYCASTLE DR
YUKON
OK
730997804
Practice Location Phone/Fax
Phone: | 9186930411 |
Fax: |
Provider Mailing Location
10230 BONNYCASTLE DR
YUKON
OK
730997804
Provider Mailing Phone/Fax
Phone: | 9186930411 |
Fax: |