Individual
MICHELLE MCCLAREN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W ADAMS ST, CRESTON, IA 50801-3106
(641) 782-6620
Mailing address
900 N SUMNER AVE, CRESTON, IA 50801-1351
(641) 247-9455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
095964
IA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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