Individual
MR. JOHN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 OLD EAGLE SCHOOL RD, SUITE 200, STRAFFORD, PA 19087-2556
(610) 710-4026
Mailing address
85 OLD EAGLE SCHOOL RD, SUITE 200, STRAFFORD, PA 19087-2556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RMF74RGJ
PA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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