Individual
THOMAS E HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C008752
NC
Other
Enumeration date
01/19/2012
Last updated
02/21/2019
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