STEPHEN HICKMAN

FAIRBORN, OH
NPI1609190859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  011303)
Enumeration Date2010-03-17
Last Update Date2010-03-17
Business Address
-- STEPHEN HICKMAN LCDCIII
600 E DAYTON YELLOW SPRINGS RD
FAIRBORN, OH 45324-3995
Phone number: 937-879-3400
Mailing Address
-- STEPHEN HICKMAN LCDCIII
452 W MARKET ST
XENIA, OH 45385-2815
Phone number: 937-376-8700
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