Individual
TRINA MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 FIRLAWN DR, TOLEDO, OH 43614-3519
(567) 868-4898
Mailing address
1929 FIRLAWN DR, TOLEDO, OH 43614-3519
(567) 868-4898
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4810250
DODD PROVIDER NUMBER
OH
Enumeration date
01/05/2021
Last updated
01/05/2021
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