Individual
WILLIAM LEONARD HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7671 CENTRAL AVE NE, SUITE 208, FRIDLEY, MN 55432-3575
(763) 786-8067
(763) 786-5080
Mailing address
7671 CENTRAL AVE NE, SUITE 208, FRIDLEY, MN 55432-3575
(763) 786-8067
(763) 786-5080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2580
MN
Other
Enumeration date
09/06/2012
Last updated
11/20/2013
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