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MR. MICHAEL ALAN HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CM

Contact information

Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
(435) 843-3555
Mailing address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
(435) 843-3555

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/01/2011
Last updated
03/01/2011
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