NPI | 1942785936 |
---|---|
Professional Name | ELLINGTON K HICKS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801102874) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851102874) |
Enumeration Date | 2018-09-26 |
Last Update Date | 2025-02-05 |