Individual
PATRICIA ANN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 364-5142
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 364-5142
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7959
MS
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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