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Contact Information

DOMINIQUE L HICKMAN, LCSW
501 E GREEN DR
HIGH POINT, NC27260
 Phone: 336-641-7654
 Fax: 336-641-3210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DOMINIQUE L HICKMAN · (Female)

NPI # 1518497403
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/14/2017
Last updated 08/06/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # C012368
  • NC License # P011631
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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