KENNETH HICKS

GARY, IN
NPI1881719532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.005869)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- KENNETH HICKS M.A., LCSW
308 EAST 21ST AVENUE
GARY, IN 46407
Phone number: 219-886-1320
Mailing Address
-- KENNETH HICKS M.A., LCSW
9323 SOUTH EMERALD AVENUE
CHICAGO, IL 60620
Phone number: 773-858-6999
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