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Individual

ROBBIE HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
215 E WASHINGTON, CLARINDA, IA 51632
(712) 542-3501
(712) 542-4725
Mailing address
215 E WASHINGTON, CLARINDA, IA 51632
(712) 542-3501
(712) 542-4725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00888
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
245687
MIDLANDS CHOICE
05
490124599
MO
01
6576020
SD MEDICAID
SD
05
783456000
IA
Enumeration date
10/11/2006
Last updated
03/08/2024
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