Individual
AMY JO HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 HOPE DR, BLDG. 6000, MOUNTAIN HOME A F B, ID 83648-1057
(208) 828-7580
(208) 828-3940
Mailing address
90 HOPE DR, BLDG. 6000, MOUNTAIN HOME A F B, ID 83648-1057
(208) 828-7580
(208) 828-3940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 27371
ID
Other
Enumeration date
06/18/2010
Last updated
10/25/2010
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