Individual
LUCY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
2113 LAKEVIEW DR APT 166, YPSILANTI, MI 48198-6720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002542
MI
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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