Individual
DR. COLETTE HICKMAN-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Contact information
Practice address
481 E 1000 S STE D, PLEASANT GROVE, UT 84062-3716
(801) 899-2559
Mailing address
481 E 1000 S STE D, PLEASANT GROVE, UT 84062-3716
(801) 899-2559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10500203-3501
UT
Other
Enumeration date
09/02/2016
Last updated
01/14/2025
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