Shanti Luna Hicks

NPI #1225627169 in Baker, West Virginia

Provider Information

NPI Number: 1225627169
Entity Type: Individual
Name: Shanti Luna Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jan 14, 2021
Last Updated: Jan 14, 2021

Practice Location

Address: 17978 SR 55
City: Baker
State: West Virginia
ZIP Code: 26801
Phone: (304) 897-5915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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