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Individual

KAYLEIGH B. HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-C

Contact information

Practice address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311
Mailing address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC13756
ME

Other

Enumeration date
09/12/2012
Last updated
08/07/2013
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