Individual
GINGER ELAINE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1000 COMMERCE PARK DR, SUITE 110, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
(570) 323-4529
Mailing address
320 HIGHLAND DR, P.O. BOX 597, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-2658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW126226
PA
1041C0700X
Clinical Social Worker
Primary
CW017818
PA
Other
Enumeration date
01/19/2007
Last updated
09/17/2013
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