Individual
FRIDOLYN D HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5770 S 1500 W BLDG C, SLC, UT 84123-5216
(801) 265-3091
Mailing address
2656 COMANCHE DR, SLC, UT 84108-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
263942-3501
UT
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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