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Individual

MS. HAILEY OLSON HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LO, ABOC, NCLEC

Contact information

Practice address
450 PROVIDENCE RD, BROOKLYN, CT 06234-1823
(860) 412-5141
(860) 774-1656
Mailing address
450 PROVIDENCE RD, BROOKLYN, CT 06234-1823
(860) 412-5141
(860) 774-1656

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1825
CT

Other

Enumeration date
01/07/2021
Last updated
01/07/2021
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