Individual
BETHANY JO HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
651 KAUHIKOA RD, HAIKU, HI 96708-4805
(970) 214-7735
Mailing address
PO BOX 331371, KAHULUI, HI 96733-1371
(970) 214-7735
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-4420
HI
1041C0700X
Clinical Social Worker
Primary
LCSW.9924978
CO
Other
Enumeration date
07/28/2019
Last updated
04/19/2024
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