Individual
MICHELE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
121 LEE ST # B, CARROLLTON, GA 30117-3314
(770) 830-8622
(770) 832-9031
Mailing address
121 LEE ST # B, CARROLLTON, GA 30117-3314
(770) 830-8622
(770) 832-9031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003837
GA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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