Individual
WILLIAM RAY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 N 2ND ST, PIEDMONT, MO 63957-1301
(573) 223-7649
Mailing address
925 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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