Individual
NICOLE NARELLE HICKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 250-7700
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
106541
TX
235Z00000X
Speech-Language Pathologist
Primary
7698782-4102
UT
Other
Enumeration date
05/13/2008
Last updated
07/18/2013
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