Individual
DOUGLAS HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 BLUE RIDGE BLVD, RAYTOWN, MO 64133-5629
(816) 988-2751
Mailing address
7320 NE 47TH ST, KANSAS CITY, MO 64117-1461
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8500
KS
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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