Individual
LIZA OKTAY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
500 OELLA AVENUE, ELLICOTT CITY, MD 21043
(443) 848-1366
(410) 328-8552
Mailing address
500 OELLA AVENUE, ELLICOTT CITY, MD 21043
(443) 848-1366
(410) 328-8552
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
12136
MD
Other
Enumeration date
09/20/2006
Last updated
05/06/2021
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