Individual
MARIA CARMEN HICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 W AVENIDA FRIA, TUCSON, AZ 85746-7962
(520) 578-8243
Mailing address
3640 W AVENIDA FRIA, TUCSON, AZ 85746-7962
(520) 578-8243
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
9314
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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