Robert Alan Hicks, MSW, LISAC, BHP
Social Worker in Cottonwood, AZ. Individual provider (NPI-1).
NPI number1629141908
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629141908
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Alan Hicks
- Credential
- MSW, LISAC, BHP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 11456 | AZ | Yes |
Practice location
636 N Main StCottonwood, AZ 86326-3725
Phone 928-639-4440 · Fax 928-639-3924
Mailing address
636 N Main StCottonwood, AZ 86326-3725
Phone 928-639-4440 · Fax 928-639-3924
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