TYRA JAMEESE HICKS

PETERSBURG, VA
NPI1437653649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-03-21
Last Update Date2020-04-15
Business Address
TYRA JAMEESE HICKS MA, QMHP
410 WALNUT ST
PETERSBURG, VA 23803-5763
Phone number: 804-835-9959
Mailing Address
TYRA JAMEESE HICKS MA, QMHP
410 WALNUT ST
PETERSBURG, VA 23803-5763
Phone number: 804-324-6514