Individual
PERNELL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 269-2404
Mailing address
10510 JOYCETON DR, UPPER MARLBORO, MD 20774-1465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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