Individual
DARNELL EUGENE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3405 E MAPLE GROVE AVE, FORT WAYNE, IN 46806-2621
(260) 246-0814
Mailing address
3405 E MAPLE GROVE AVE, FORT WAYNE, IN 46806-2621
(260) 246-0814
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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