Individual
MR. CARL RAY HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
5407 N CHARLES STREET, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Mailing address
5407 N CHARLES STREET, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC1029
MD
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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