Individual
ERICA C HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 COLBURN RD, CHARLTON, MA 01507-6647
(774) 922-0105
Mailing address
112 COLBURN RD, CHARLTON, MA 01507-6647
(774) 922-0105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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