Individual
ROSALYN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 POPLAR ST SE, SALLEY, SC 29137-8949
(803) 800-2899
Mailing address
PO BOX 263, SALLEY, SC 29137-0263
(803) 800-2899
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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