Individual
CHRISTINA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 S INDIANA AVE STE 2NE, CHICAGO, IL 60605-2857
(773) 377-5577
Mailing address
2400 STAGECOACH ST, FORT WORTH, TX 76133-8106
(682) 816-6477
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05251993
DOB
—
Enumeration date
02/10/2023
Last updated
05/11/2026
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