DEBRA A HICKMON

LANCASTER, WI
NPI1063440618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1956)
Enumeration Date2006-06-30
Last Update Date2008-07-07
Business Address
-- DEBRA A HICKMON CACD III
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357
Mailing Address
-- DEBRA A HICKMON CACD III
200 W ALONA LN
LANCASTER, WI 53813-2202
Phone number: 608-723-6357