Individual
AMANDA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 W PEORIA AVE STE 1123, PHOENIX, AZ 85029-4733
(602) 688-4078
Mailing address
2432 W PEORIA AVE STE 1123, PHOENIX, AZ 85029-4733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20803
AR
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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