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1255852463
AMANDA RENEA HICKMAN
FORT SMITH, AR
NPI
1255852463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
MISS AMANDA RENEA HICKMAN
6601 PHOENIX AVE STE B
FORT SMITH, AR 72903-5092
Phone number: 479-785-9091
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Mailing Address
MISS AMANDA RENEA HICKMAN
1 CHILDRENS WAY # 512-39
LITTLE ROCK, AR 72202-3500
Phone number: 501-526-8700
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