Individual
BROOKE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 STATE ROUTE 545, ASHLAND, OH 44805-8934
(419) 685-2525
Mailing address
1102 STATE ROUTE 545, ASHLAND, OH 44805-8934
(419) 685-2525
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
XXXXXXXXX
OH
Other
Enumeration date
01/07/2017
Last updated
01/07/2017
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