Individual
ENITH ELISE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 356-2395
(912) 356-2634
Mailing address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 356-2395
(912) 356-2634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3618
GA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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