Individual
SHERRI HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2152 S VINEYARD, STE. 110, MESA, AZ 85210-6881
(480) 241-9824
Mailing address
2152 S VINEYARD STE 110, MESA, AZ 85210-6881
(480) 241-9824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15469
AZ
1041C0700X
Clinical Social Worker
Primary
18147
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843407923
IRS
AZ
Enumeration date
01/31/2017
Last updated
11/09/2019
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