Individual
BERTRAM HICKMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 333-8261
Mailing address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2153
DE
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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