Individual
KATIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
(337) 210-5844
Mailing address
4640 W CONGRESS ST, LAFAYETTE, LA 70506-6622
(337) 210-5844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7240
LA
Other
Enumeration date
05/20/2019
Last updated
08/19/2021
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