MRS. Shellie Irene Hickok

NPI #1639412950 in Anchorage, Alaska

Provider Information

NPI Number: 1639412950
Entity Type: Individual
Name: MRS. Shellie Irene Hickok
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 4, 2013
Last Updated: Apr 8, 2013

Practice Location

Address: 6074 DONCASTER DR
City: Anchorage
State: Alaska
ZIP Code: 99504-3234
Phone: (907) 274-0060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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