Individual
MRS. BETH HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5833 COUNTRYSIDE DR, TALLAHASSEE, FL 32317-1453
(850) 212-3404
(888) 866-4926
Mailing address
1931 WELBY WAY STE 5, TALLAHASSEE, FL 32308-4473
(850) 212-3404
(888) 866-4926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204
—
FL
Enumeration date
07/31/2009
Last updated
08/03/2021
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