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Organization
HICKMAN THERAPY SERVICES, INC.
Active
Organization
HICKMAN THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERRI HICKMAN TEMPLE M.ED., CCC-SLP (PRESIDENT)
(404) 964-4629
Entity
Organization
Contact information
Practice address
135 BROADWELL OAKS COURT, ALPHARETTA, GA 30004
(404) 964-4629
(770) 754-5998
Mailing address
135 BROADWELL OAKS COURT, ALPHARETTA, GA 30004
(404) 964-4629
(770) 754-5998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003974
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000809839A
—
GA
Enumeration date
12/04/2006
Last updated
10/02/2013
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