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Individual

JUDITH HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5020 KEY WEST DR, HUBER HEIGHTS, OH 45424-5925
(937) 829-0557
Mailing address
5020 KEY WEST DR, HUBER HEIGHTS, OH 45424-5925
(937) 829-0557

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000320
OH

Other

Enumeration date
06/25/2007
Last updated
12/09/2014
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