Individual
STARVELLE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 GRAND CLUB PL, FORT PIERCE, FL 34982-8124
(561) 449-9209
Mailing address
222 GRAND CLUB PL, FORT PIERCE, FL 34982-8124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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