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1770211641
BLAKE LAUREN HICKMAN
EUREKA, CA
NPI
1770211641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 117308)
Enumeration Date
2022-08-09
Last Update Date
2023-09-20
Business Address
BLAKE LAUREN HICKMAN ASW
720 WOOD STREET
EUREKA, CA 95501
Phone number: 707-572-8566
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Mailing Address
BLAKE LAUREN HICKMAN ASW
4525 VALLEY WEST BLVD
ARCATA, CA 95521
Phone number: 225-270-1333
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