Wendy Lee Hicks, LMSW

NPI #1164517579 in White City, Oregon

Provider Information

NPI Number: 1164517579
Entity Type: Individual
Name: Wendy Lee Hicks, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8495 CRATER LAKE HWY
Address 2: VA SORCC
City: White City
State: Oregon
ZIP Code: 97503-3011
Phone: (541) 826-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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