Individual
DIANE CAROL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
54 HARRIS PL STE 105, BRATTLEBORO, VT 05301-6709
(413) 345-8974
Mailing address
228 STEADY LN, ASHFIELD, MA 01330-9724
(413) 345-8974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0134696
VT
1041C0700X
Clinical Social Worker
125489
MA
Other
Enumeration date
09/26/2016
Last updated
09/19/2022
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