Individual
KARON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8039 TEMPLE RD, PHILADELPHIA, PA 19150-1224
(267) 481-5019
Mailing address
8039 TEMPLE RD, PHILADELPHIA, PA 19150-1224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136456
PA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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