Individual
MELODY SUZANNE HICKMAN-HORVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 623-5301
(423) 625-0808
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW 5982
TN
1041C0700X
Clinical Social Worker
Primary
LSW4592
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39839773
—
TN
Enumeration date
07/12/2005
Last updated
07/08/2007
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