Individual
BRANDY MICHELL FAYEMI HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
3421 BROTHERS PL SE APT 201, WASHINGTON, DC 20032-1583
(202) 749-6104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYA200001394
DC
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
03/08/2023
Last updated
12/11/2023
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