Individual
MR. BRYAN PATRICK HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(203) 605-7009
Mailing address
1 BREWERY SQ APT T504, NEW HAVEN, CT 06513-4375
(203) 605-7009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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