Individual
ALICIA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6266 WISCASSET PKWY NW, DALLAS, GA 30157-6549
(770) 881-2041
Mailing address
6266 WISCASSET PKWY NW, DALLAS, GA 30157-6549
(770) 881-2041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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