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IDALIA BERENICE HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
4601 N VIA ENTRADA APT 2057, TUCSON, AZ 85718-5873
(520) 405-1710
Mailing address
4601 N VIA ENTRADA APT 2057, TUCSON, AZ 85718-5873
(520) 405-1710

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5459
AZ

Other

Enumeration date
06/08/2007
Last updated
07/08/2007
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