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1134411036
PAUL T HICKERSON
RUSSELLVILLE, AR
NPI
1134411036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P1408057)
Enumeration Date
2011-05-10
Last Update Date
2023-11-15
Business Address
Dr. PAUL T HICKERSON PHD, LPC
106 E MAIN
RUSSELLVILLE, AR 72801-5128
Phone number: 479-692-1208
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Mailing Address
Dr. PAUL T HICKERSON PHD, LPC
PO BOX 1251
FARMINGTON, AR 72730-9998
Phone number: 479-692-1208
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