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Individual

CHAD HOWARD HICKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 779-6612
(740) 779-6617
Mailing address
3 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 779-6612
(740) 779-6617

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171199
OH

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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