SHAYLA RENEE HICKMAN

AMMON, ID
NPI1225515299
Former NameSHAYLA RENEE ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC-6891)
Enumeration Date2018-07-23
Last Update Date2021-05-18
Business Address
SHAYLA RENEE HICKMAN LCPC
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
Mailing Address
SHAYLA RENEE HICKMAN LCPC
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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