Individual
MRS. MICHELLE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1936 ROSS CLARK CIR, DOTHAN, AL 36301-5750
(334) 709-4042
Mailing address
39 HOPKINS RD, ASHFORD, AL 36312-2535
(706) 238-0201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-353803
AL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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