Individual
DAMON LOWELL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6342 SAINT JEAN DR, INDIANAPOLIS, IN 46217-3859
(317) 753-6294
Mailing address
6342 SAINT JEAN DR, INDIANAPOLIS, IN 46217-3859
(317) 753-6294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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