Hickman, Elizabeth Brooke

Hickman, Elizabeth Brooke is an individual health care provider with primary practice located at 624 Market Ave N , Canton OH 44702-1017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hickman, Elizabeth Brooke can be contacted via phone (330) 454-7066.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702-1017
Phone: (330) 454-7066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1200974 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X S.1200974 Ohio

Profile Details

NPI number 1073850806
LBN Legal business name Hickman, Elizabeth Brooke
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073850806 NPPES
Ohio Other S.1200974 COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD

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