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Individual

MRS. KENYA R HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13106 E 57TH ST, KANSAS CITY, MO 64133-3615
(816) 674-2657
Mailing address
13106 E 57TH ST, KANSAS CITY, MO 64133-3615
(816) 674-2657

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020034558
MO
1041S0200X
School Social Worker
2015040798
MO

Other

Enumeration date
05/20/2020
Last updated
01/08/2021
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