Individual
MS. LAUREL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LLC
Contact information
Practice address
2680 E MAIN ST, SUITE 126, PLAINFIELD, IN 46168-2825
(317) 966-8366
(317) 837-4901
Mailing address
2680 E MAIN ST STE 126, PLAINFIELD, IN 46168-2827
(317) 966-8366
(317) 942-0348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39897001
—
IN
Enumeration date
02/23/2006
Last updated
05/25/2021
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