Individual
KINO DEZZELL HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7445
(254) 743-1394
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7445
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
68272
TX
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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