Individual
MICHAEL ROBERT HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 PETERS WAY, NORTH ATTLEBORO, MA 02760-4655
(774) 265-5287
Mailing address
52 PETERS WAY, NORTH ATTLEBORO, MA 02760-4655
(774) 265-5287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18672
MA
Other
Enumeration date
07/07/2014
Last updated
09/16/2022
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