Individual
KARA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 THREE RIVERS DR NE, ROME, GA 30161-2303
(706) 622-3681
Mailing address
160 THREE RIVERS DR NE, ROME, GA 30161-2303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005809
GA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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