Individual
MS. MARIBETH DIPPIE ETHRIDGE-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Mailing address
985 BETHLEHEM CHURCH LN, VIENNA, IL 62995-3717
(618) 771-3698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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