Individual
CAITLIN LEE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 BRANDY DR UNIT A, CRYSTAL LAKE, IL 60014-7430
(847) 857-0871
Mailing address
420 BRANDY DR UNIT A, CRYSTAL LAKE, IL 60014-7430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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