Individual
ROCHELLE HICKMOTT-MULKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W MAIN ST, CONWAY, NH 03818-6142
(603) 447-2111
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7706638YONH01
ANTHEM
—
05
—
81263824
—
NH
Enumeration date
07/03/2007
Last updated
02/20/2024
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