Individual
KARA MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MI
Contact information
Practice address
1401 ASH ST, DETROIT, MI 48208-2999
(313) 557-8717
Mailing address
6167 STERLING DR, NEWPORT, MI 48166-9647
(734) 925-2483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803085699
MI
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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