Philip A Hickey IV MSW/LCSW

NPI 1083957955 - Social Worker - 1041C0700X

NPI Details
NPI 1083957955
Gender Male
Enumeration Date 03/29/2013
Last Updated 03/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
414 EAGLE ROCK AVE
SUITE 307
WEST ORANGE NJ, 07052-4229, US
Phone (973) 731-1264
Fax
Business Location
47 UNION ST
APT. B1
MONTCLAIR NJ, 07042-3369, US
Phone (973) 619-2064
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number 44SC05526800
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According to our database, Mr. Philip A Hickey IV MSW/LCSW NPI is 1083957955, taxonomy code is 1041C0700X and license number is 44SC05526800, license state is located at New Jersey. Philip A Hickey IV MSW/LCSW physically located at 414 Eagle Rock Ave, West Orange NJ, 07052-4229. NPI Number Philip A Hickey IV MSW/LCSW has the Individual type.

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1083957955 NPI number is provided on an as is basis without warranty of any kind. 1083957955 is maintained by the National Plan & Provider Enumeration System. The contents of Philip A Hickey IV MSW/LCSW are for informational purposes only.