Individual
RACHEL HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4407 AMARILLO ST, BLYTHEVILLE, AR 72315-5702
(870) 532-2229
Mailing address
PO BOX 125, BLACK OAK, AR 72414-0125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8420
AR
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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