SAMANTHA N HICKS

PADUCAH, KY
NPI1932457025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2012-08-21
Last Update Date2012-08-21
Business Address
-- SAMANTHA N HICKS
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-1452
Mailing Address
-- SAMANTHA N HICKS
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: