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1316955404
FRIDOLYN D HICKS
SLC, UT
NPI
1316955404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 263942-3501)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
-- FRIDOLYN D HICKS LCSW
5770 S 1500 W BLDG C
SLC, UT 84123-5216
Phone number: 801-265-3091
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Mailing Address
-- FRIDOLYN D HICKS LCSW
2656 COMANCHE DR
SLC, UT 84108-2809
Phone number:
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