Amy Jo Hicks

NPI #1467773903 in Mountain Home a F B, Idaho

Provider Information

NPI Number: 1467773903
Entity Type: Individual
Name: Amy Jo Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 18, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: 90 HOPE DR
Address 2: BLDG. 6000
City: Mountain Home a F B
State: Idaho
ZIP Code: 83648-1057
Phone: (208) 828-7580

Specialties & Taxonomy Codes

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

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