Individual
MRS. KAREN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 HAIRSTON ST, CONWAY, AR 72034-3227
(501) 450-6634
Mailing address
1902 HAIRSTON ST, CONWAY, AR 72034-3227
(501) 450-6634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
289
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#171052795
—
AR
Enumeration date
02/06/2014
Last updated
02/06/2014
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