Individual
MR. MICHAEL HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW RSW
Contact information
Practice address
7921 BULLARD AVE STE 2C, NEW ORLEANS, LA 70128-1186
(504) 373-9626
(504) 373-9626
Mailing address
206 TEDDY AVE, SLIDELL, LA 70458-3240
(504) 638-6519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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