Individual
GABRIELLA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 N COUNTY LINE RD, JACKSON, NJ 08527-1466
(732) 744-4622
Mailing address
32 EDWARDS LN, MANALAPAN, NJ 07726-2904
(732) 744-4622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06326900
NJ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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