JOHN VICENT HICKMAN

FARMINGVILLE, NY
NPI1538230495
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R045978)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
Mr. JOHN VICENT HICKMAN LCSW, CASAC
15 HORSEBLOCK PL
FARMINGVILLE, NY 11738-1204
Phone number: 631-854-2571
Mailing Address
Mr. JOHN VICENT HICKMAN LCSW, CASAC
25 BEECH ST
LAKE GROVE, NY 11755-3141
Phone number: 631-981-2843
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