MARIBETH ETHRIDGE-HICKS BLACK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149028213

License Status

ACTIVE

Business

First Name

MARIBETH

Middle

ETHRIDGE-HICKS

Last Name

BLACK

Business Name

MARIBETH ETHRIDGE-HICKS BLACK

Original Issue Date

11/20/2024

Effective Date

09/11/2025

Expiration Date

11/30/2027

City

VIENNA

State

Zip

62995

County

JOHNSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/11/2025