Individual
CINDY LEA HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 W OWEN K GARRIOTT RD, ENID, OK 73703-5525
(405) 823-8226
(580) 297-5204
Mailing address
11113 W SOUTHGATE RD, ENID, OK 73703-7240
(580) 548-7808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
18-72882
OK
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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