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Individual

MS. CAROL HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.M.F.T.

Contact information

Practice address
1821 ESCAMBIA AVE, PENSACOLA, FL 32503-5784
(850) 432-7820
(850) 435-9545
Mailing address
1821 ESCAMBIA AVE, PENSACOLA, FL 32503-5784
(850) 432-7820
(850) 435-9545

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 120
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
088985
VALUEOPTIONS
01
Z 2547
BCBS
FL
Enumeration date
11/08/2006
Last updated
07/08/2007
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