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Organization

DEPARTMENT OF VETERAN AFFAIRS (CTVHCS)

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KINO D HICKEY LMSW (SOCIAL WORKER)
(254) 743-1394
Entity
Organization

Contact information

Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-1394
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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