Individual
MR. CLIFTON HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3509 HULEN ST STE 255, FORT WORTH, TX 76107-6867
(817) 964-0077
Mailing address
3509 HULEN ST STE 255, FORT WORTH, TX 76107-6867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85208
TX
Other
Enumeration date
03/13/2024
Last updated
05/14/2026
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