Individual
CORBI LEE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
67670 TRACO DR, SAINT CLAIRSVILLE, OH 43950-9375
(740) 695-2131
Mailing address
67670 TRACO DR, SAINT CLAIRSVILLE, OH 43950-9375
(740) 695-2131
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
411518
OH
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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