Individual
ANNA HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17937 HALL RD, MACOMB, MI 48044-4557
(586) 255-0499
Mailing address
17937 HALL RD, MACOMB, MI 48044-4557
(586) 255-0499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013690
MI
Other
Enumeration date
04/17/2014
Last updated
04/03/2017
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