Fridolyn D Hicks, LCSW

NPI #1316955404 in Slc, Utah

Provider Information

NPI Number: 1316955404
Entity Type: Individual
Name: Fridolyn D Hicks, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5770 S 1500 W BLDG C
City: Slc
State: Utah
ZIP Code: 84123-5216
Phone: (801) 265-3091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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