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1639500812
PHYLIS HICKMAN
RIO RANCHO, NM
NPI
1639500812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-07026)
Enumeration Date
2013-12-12
Last Update Date
2013-12-12
Business Address
-- PHYLIS HICKMAN LCSW, LISW
105 ALERO CIR NE
RIO RANCHO, NM 87124-0807
Phone number: 505-702-8978
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Mailing Address
-- PHYLIS HICKMAN LCSW, LISW
105 ALERO CIR NE
RIO RANCHO, NM 87124-0807
Phone number: 505-702-8978
Copy
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