NPI | 1568288710 |
---|---|
Former Legal Business Name | MARKAY HICKERSON, LCSW |
Entity Type | Organization |
Authorized Contact | MARKAY HICKERSON CEO 903-215-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-12-03 |
Last Update Date | 2024-12-03 |