Individual
MR. JAMES LARRY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 TOWN CTR STE 1350, SOUTHFIELD, MI 48075-1427
(313) 784-8389
Mailing address
14036 GLENWOOD ST, DETROIT, MI 48205-2882
(313) 784-8389
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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