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1073107132
LARRY HICKMAN
OAKLAND, CA
NPI
1073107132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-03-01
Last Update Date
2023-09-12
Business Address
LARRY HICKMAN
11 EMBARCADERO W STE 136
OAKLAND, CA 94607-4500
Phone number: 510-467-4250
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Mailing Address
LARRY HICKMAN
PO BOX 5715
BERKELEY, CA 94705-0715
Phone number: 510-467-4250
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