Individual
MARSHALL D. HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
609 S INDUSTRY WAY, SUITE 45, MERIDIAN, ID 83642
(208) 922-2207
Mailing address
609 SOUTH INDUSTRY WAY, SUITE 45, MERIDIAN, ID 83642
(208) 922-2207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4438
ID
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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