Provider Information for 1932799699
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ALAN HICKEY LMHC
Sex: Male
NPI: 1932799699
Last Updated: 2021-01-26
Certification Date: 2021-01-26
Certification Date: 2021-01-26
Details
| Name | Value | ||||||||
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| NPI | 1932799699 | ||||||||
| Enumeration Date | 2021-01-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6523 SW 62ND AVE OCALA, FL 34474-5523 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 6523 SW 62ND AVE OCALA, FL 34474-5523 United States Phone: 352-342-3930 | Fax: | ||||||||
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