Individual
KELSIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Mailing address
6128 HIGHWAY 1, NAPOLEONVILLE, LA 70390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19622
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/27/2019
Last updated
10/25/2021
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