Individual
MARY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 UNION ST., DRYDEN, NY 13053-0088
(607) 844-8694
(607) 844-9449
Mailing address
PO BOX 88, DRYDEN, NY 13053-0088
(607) 844-8694
(607) 844-9449
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
075999-1
NY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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