Individual
BONNIE HICKS-TOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 776-6577
Mailing address
2468 MORRCREST DR, CORNING, NY 14830-9227
(607) 562-8545
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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