Individual
MRS. ALICE MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
206 N 37TH ST, MUSKOGEE, OK 74401-2123
(918) 706-9711
Mailing address
206 N 37TH ST, MUSKOGEE, OK 74401-2123
(918) 706-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3846
OK
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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