Individual
TERESA LYNN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N SPRING ST, BUCKHANNON, WV 26201-2720
(304) 472-0395
Mailing address
1080 MEADOW FORK RD, BUCKHANNON, WV 26201
(042) 265-4073
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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