Individual
MRS. SUSAN LOUISE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4434 COREY ROAD, CENTRAL POINT, OR 97502
(541) 973-8350
Mailing address
724 S. CENTRAL, SUITE 101, FAMILY SOLUTIONS, MEDFORD, OR 97501
(541) 776-5793
(541) 776-5798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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