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Individual
MR. PHILIP A HICKEY IV
Active
Individual
MR. PHILIP A HICKEY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW/LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05526800
NJ
Other
Enumeration date
03/29/2013
Last updated
01/28/2020
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