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Individual

KRISTA HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., NCSP, SP408

Contact information

Practice address
1605-A AIRPORT RD, NEW LEXINGTON, OH 43764-1407
(740) 342-4133
Mailing address
1858 BRANDIGEN LN, COLUMBUS, OH 43228-3883
(614) 270-8910

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP408
OH

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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