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Individual

GREGORY A HICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
610 N HIRSCH AVE, ELLINWOOD, KS 67526-1433
(620) 564-3069
(620) 564-3069
Mailing address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
(316) 283-9540

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW 1925
KS

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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