Individual
TERRANCE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12260 CAMDEN ST, DETROIT, MI 48213-1756
(248) 785-7334
Mailing address
18110 FAIRFIELD ST, DETROIT, MI 48221-3705
(248) 785-7334
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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