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Individual

MRS. ELIZABETH M HICKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
136 E TALLULAH DR, GREENVILLE, SC 29605-1141
(864) 630-9378
Mailing address
136 E TALLULAH DR, GREENVILLE, SC 29605-1141
(864) 630-9378

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3619
SC

Other

Enumeration date
06/22/2010
Last updated
06/22/2010
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