Individual
ANTHONY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3218 THUNDERBIRD LN, BOSSIER CITY, LA 71112-3125
(337) 258-9499
Mailing address
3218 THUNDERBIRD LN, BOSSIER CITY, LA 71112-3125
(337) 258-9499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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