Individual
MARKAY HICKERSON,
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-1486
(575) 622-3325
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 755-1486
(575) 622-3325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10039
NM
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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