ALEX MICHAEL HICKINBOTHAM

MANSFIELD, OH
NPI1790226264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  141590)
Enumeration Date2017-03-16
Last Update Date2017-03-16
Business Address
MR. ALEX MICHAEL HICKINBOTHAM CDCA
680 PARK AVE W
MANSFIELD, OH 44906-3706
Phone number: 419-528-5993
Mailing Address
MR. ALEX MICHAEL HICKINBOTHAM CDCA
876 ARLINGTON AVE
MANSFIELD, OH 44903-7020
Phone number: 419-632-0127
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