Individual
WENDY LEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
8495 CRATER LAKE HWY, VA SORCC, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
PO BOX 2741, WHITE CITY, OR 97503-0741
(541) 772-8455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
065376
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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