Individual
SUE BRUNER HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2932 NW 122ND ST, SUITE 14, OKLAHOMA CITY, OK 73120-1955
(405) 418-7399
(405) 286-2402
Mailing address
2932 NW 122ND ST, SUITE 14, OKLAHOMA CITY, OK 73120-1955
(405) 418-7399
(405) 286-2402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3239
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350740A
—
OK
05
—
200350740B
—
OK
Enumeration date
03/13/2007
Last updated
02/06/2013
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