COREY HICKENBOTTOM

OTTUMWA, IA
NPI1609768936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-07-21
Last Update Date2025-07-21
Business Address
COREY HICKENBOTTOM
310 W MAIN ST
OTTUMWA, IA 52501-2523
Phone number: 641-683-6747
Mailing Address
COREY HICKENBOTTOM
403 W BROADWAY AVE
FAIRFIELD, IA 52556-3234
Phone number:
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