WALTER R. HICKEY

SANTA ROSA, CA
NPI1841477304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS12154)
Enumeration Date2008-01-28
Last Update Date2008-01-28
Business Address
-- WALTER R. HICKEY LCSW
3317 CHANATE RD
SANTA ROSA, CA 95404-1737
Phone number: 707-570-3882
Mailing Address
-- WALTER R. HICKEY LCSW
3317 CHANATE RD
SANTA ROSA, CA 95404-1737
Phone number: 707-570-3882