Organization
IN THIS TOGETHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HICKERSON MSW HICKERSON MSW RSW (EXECUTIVE DIRECTOR)
(504) 962-3245
Entity
Organization
Contact information
Practice address
2511 BAYOU RD STE B, NEW ORLEANS, LA 70119-2302
(504) 962-3245
Mailing address
2511 BAYOU RD STE B, NEW ORLEANS, LA 70119-2302
(504) 962-3245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1030121
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310121
—
LA
Enumeration date
09/02/2009
Last updated
09/02/2009
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