Individual
DOMONIKE A HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SALISBURY ST APT 2, PROVIDENCE, RI 02905-2221
(401) 470-3045
Mailing address
5 SALISBURY ST APT 2, PROVIDENCE, RI 02905-2221
(401) 470-3045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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