KHADIJAH HICKMAN

FAIRBANKS, AK
NPI1174399703
Other NameKAJA HICKMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
KHADIJAH HICKMAN
215 CUSHMAN ST
FAIRBANKS, AK 99701-4639
Phone number: 907-374-1097
Mailing Address
KHADIJAH HICKMAN
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number: