Angela Michelle Hicks

NPI #1952032203 in Cleveland, Oklahoma

Provider Information

NPI Number: 1952032203
Entity Type: Individual
Name: Angela Michelle Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 907 W CADDO ST
City: Cleveland
State: Oklahoma
ZIP Code: 74020-4201
Phone: (844) 458-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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