Individual
LOREN JAMES HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
3400 NEW HARTFORD RD, OWENSBORO, KY 42303-1705
(270) 684-5034
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
253354
KY
Other
Enumeration date
10/31/2017
Last updated
10/05/2021
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