Individual
MRS. LADONNA LYNN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2224 E CEDAR AVE, STE 103, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
Mailing address
PO BOX 1464, PAGE, AZ 86040-1464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8546
AZ
235Z00000X
Speech-Language Pathologist
TSLP8546
AZ
Other
Enumeration date
08/30/2013
Last updated
11/05/2015
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