Individual
KELSIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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