Individual
AMBER NICOLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9661
(225) 223-6968
Mailing address
PO BOX 664, MARINGOUIN, LA 70757-0664
(225) 401-8449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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