DERWIN L HICKMAN

RICHMOND, VA
NPI1689307944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  792-02-033)
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
Mr. DERWIN L HICKMAN M. Div, QMHP-C
4825 S LABURNUM AVE
RICHMOND, VA 23231-2713
Phone number: 804-328-1790
Mailing Address
Mr. DERWIN L HICKMAN M. Div, QMHP-C
5350 LEWIS RD STE E
SANDSTON, VA 23150-1932
Phone number:
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