Domonike A Hicks

NPI #1265918254 in Providence, Rhode Island

Provider Information

NPI Number: 1265918254
Entity Type: Individual
Name: Domonike A Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Jul 13, 2018
Last Updated: Jul 13, 2018

Practice Location

Address: 5 SALISBURY ST APT 2
City: Providence
State: Rhode Island
ZIP Code: 02905-2221
Phone: (401) 470-3045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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