Individual
AMY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10230 BONNYCASTLE DR, YUKON, OK 73099-7804
(918) 693-0411
Mailing address
10230 BONNYCASTLE DR, YUKON, OK 73099-7804
(918) 693-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3069
OK
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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