Individual
STACY NICOLE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(858) 442-9801
Mailing address
2920 N 34TH DR, PHOENIX, AZ 85017-5250
(858) 442-9801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-20738
AZ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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