NPI | 1912327743 |
---|---|
Professional Name | ANGELA ELIZABETH GERRITSEN HICKOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 287197-3501) |
Enumeration Date | 2014-04-19 |
Last Update Date | 2022-04-28 |