SHANTI LUNA HICKS

BAKER, WV
NPI1225627169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2021-01-14
Last Update Date2021-01-14
Business Address
SHANTI LUNA HICKS
17978 SR 55
BAKER, WV 26801
Phone number: 304-897-5915
Mailing Address
SHANTI LUNA HICKS
PO BOX 97
BAKER, WV 26801-0097
Phone number: 304-897-5915
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