Individual
TATYANA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 DAN PROCTOR DR, SUITE 3300, SAINT MARYS, GA 31558-3894
(912) 882-3800
(912) 882-3303
Mailing address
2060 DAN PROCTOR DR, SUITE 3300, SAINT MARYS, GA 31558-3894
(912) 882-3800
(912) 882-3303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW0000
GA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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