Individual
MS. STEPHANIE MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
654 BROADMOOR DR, CHESTERFIELD, MO 63017-3163
(314) 374-9399
Mailing address
3394 MCKELVEY RD, SUITE 114, BRIDGETON, MO 63044-2531
(314) 374-9399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007007207
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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