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Organization

DEBORAH L. HICKEY, D.O.PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH L HICKEY (DO)
(253) 565-6809
Entity
Organization

Contact information

Practice address
6512-20TH ST CT W #C, FIREREST, WA 98466-6212
(253) 565-6809
(253) 565-5899
Mailing address
6512 20TH ST CT W #C, FIREREST, WA 98466-6212
(253) 565-6809
(253) 565-5899

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OP00001520
WA
2084P0804X
Child & Adolescent Psychiatry Physician
OP00001520
WA

Other

Enumeration date
10/30/2012
Last updated
10/30/2012
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