Hazel Ann Hicklin, LMT

NPI #1932446556 in Silverton, Oregon

Provider Information

NPI Number: 1932446556
Entity Type: Individual
Name: Hazel Ann Hicklin, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jan 16, 2013
Last Updated: Jan 16, 2013

Practice Location

Address: 602 FRONT ST
Address 2: SUITE 5B
City: Silverton
State: Oregon
ZIP Code: 97381-9710
Phone: (503) 881-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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