Individual
MRS. LAUREN MARIE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 WASHINGTON BLVD, GLASSPORT, PA 15045-1233
(610) 730-4967
Mailing address
1903 WASHINGTON BLVD, GLASSPORT, PA 15045-1233
(610) 730-4967
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9099
PA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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