Individual
JEREMY LEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
855 ARDUSER DR, OSCEOLA, MO 64776-6278
(417) 646-5075
Mailing address
209 N ORCHARD ST, CLINTON, MO 64735-1242
(660) 924-1655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025018407
MO
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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