Individual
MRS. OTISHA MARIE HICKEY-GILREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(469) 744-5219
Mailing address
405 STATE HIGHWAY 121 BYP STE A250, LEWISVILLE, TX 75067-4183
(469) 744-5219
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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