Individual
ASHLEY R HICKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S WALL ST, CARBONDALE, IL 62901-3240
(618) 924-0845
Mailing address
408 W GRAND AVE, CARTERVILLE, IL 62918-1323
(618) 924-0845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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