Individual
JENNIFER HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1820 MULKEY RD APT 617, AUSTELL, GA 30106-8260
(404) 804-1386
Mailing address
1820 MULKEY RD APT 617, AUSTELL, GA 30106-8260
(404) 804-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005260
GA
Other
Enumeration date
04/12/2013
Last updated
03/03/2017
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