Individual
MS. JUDITH MARY HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 358-4167
(414) 358-5005
Mailing address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 358-4167
(414) 358-5005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1625 123
WI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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