Individual
BROOKE ANN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
PO BOX 597, KEWANEE, IL 61443-0597
(309) 852-5696
Mailing address
303 SE 2ND AVE, GALVA, IL 61434-1803
(309) 368-8747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004624
IL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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