Individual
TONI HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1719 MERRILL DR, LITTLE ROCK, AR 72212-4009
(501) 663-2199
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2565-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231711719
—
AR
Enumeration date
03/26/2007
Last updated
07/21/2022
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