Kevin Richard Hicks, LSW, IS

NPI #1689855702 in Mountain View, Arkansas

Provider Information

NPI Number
1689855702
Entity Type
Individual
Name
Kevin Richard Hicks, LSW, IS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
LSW, IS
Enumeration Date
Nov 16, 2007
Last Updated
Nov 16, 2007

Practice Location

Address
211 BLANCHARD
ZIP Code
72560-0492
Phone
(870) 269-8100

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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