Fridolyn D Hicks, LCSW Valid NPI

Individual provider · Clinical Social Worker · Slc, UT

NPI

1316955404

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

263942-3501 (UT)

Sex

Female

Sole proprietor

No

Enumerated

2006-08-04

Last updated

2007-07-08