Organization
SUE HICKS LLC
Active
Other names
Boise VA Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUE M HICKS LCSW (OWNER)
(208) 740-0391
Entity
Organization
Contact information
Practice address
4477 W EMERALD ST STE C275, BOISE, ID 83706-2078
(208) 740-0391
Mailing address
5524 S CAPER PL, BOISE, ID 83716-6929
(208) 740-0391
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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