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1063440618
DEBRA A HICKMON
LANCASTER, WI
NPI
1063440618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1956)
Enumeration Date
2006-06-30
Last Update Date
2008-07-07
Business Address
-- DEBRA A HICKMON CACD III
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357
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Mailing Address
-- DEBRA A HICKMON CACD III
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357
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