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1295243251
SHANNON M HICKMAN
MURRAY, UT
NPI
1295243251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 5770990-3501)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
Mrs. SHANNON M HICKMAN LCSW, CST
111 E 5600 S STE 210
MURRAY, UT 84107-8160
Phone number: 801-554-0849
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Mailing Address
Mrs. SHANNON M HICKMAN LCSW, CST
111 E 5600 S STE 210
MURRAY, UT 84107-8160
Phone number: 801-554-0849
Copy
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