Miss. Tina Marie Hickey
Miss. Tina Marie Hickey is registered under Early Intervention Provider Agency in Jacksonville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
647 S Prairie StJacksonville, IL 62650-2870 Not confirmed with CMS for 15 years — call before visiting
Phone: (217) 245-5095
Fax: (217) 245-5095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1457649014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 18, 2011 |
| Last updated in NPPES | July 18, 2011 |
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