Individual
JILLIAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1568 SPRING HOLLOW WAY, STONE MOUNTAIN, GA 30083-1333
(678) 654-1869
Mailing address
1568 SPRING HOLLOW WAY, STONE MOUNTAIN, GA 30083-1333
(678) 654-1869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1610271
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP010922
GA
Other
Enumeration date
06/06/2016
Last updated
12/14/2021
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