Individual
MRS. CHARLOTTE ANN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
1386 S HALE AVE, ESCONDIDO, CA 92029-3048
(760) 739-9575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6667
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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