Individual
C MICHAEL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, MPH
Contact information
Practice address
7619 BLUE SPRING DR, LAND O LAKES, FL 34637-7489
(656) 233-7296
Mailing address
7619 BLUE SPRING DR, LAND O LAKES, FL 34637-7489
(656) 233-7296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25739
FL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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