Most Relevant Information
Provider Data
| NPI Number: | 1003201864 |
| Provider Name: | KIANA HICKMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2015 |
| Last Updated: | 03/30/2015 |
Provider Practice Location
1630 PLUM ST
AURORA
IL
605063462
Practice Location Phone/Fax
| Phone: | 6309664475 |
| Fax: |
Provider Mailing Location
1630 PLUM ST
AURORA
IL
605063462
Provider Mailing Phone/Fax
| Phone: | 6309664475 |
| Fax: |