Individual
VANEESHA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
10322 MAGNOLIA HEIGHTS CIR, COVINGTON, GA 30014-4101
(773) 430-5184
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010262
GA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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