Individual
SUSAN ANN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 LEON SULLIVAN WAY, SUITE 300, CHARLESTON, WV 25301-2402
(304) 346-9689
Mailing address
35 HAMBRICK RD, NITRO, WV 25143-1172
(304) 776-1248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP0094265D
WV
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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