Individual
MAUREEN JANE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W BRUNDAGE ST, SHERIDAN, WY 82801-4217
(307) 674-4205
(307) 674-1667
Mailing address
151 W BRUNDAGE ST, SHERIDAN, WY 82801
(307) 674-4205
(307) 674-1667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
06/21/2011
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