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NPI Code Detail

MEDICARE: MRS. MEGAN BADO HICKMAN LCSW

MEDICARE: MRS. MEGAN BADO HICKMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker52725TX

General Provider Information

NPI Number : 1528620572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN BADO HICKMAN LCSW
Provider Business Mailing Address
First Line : 2805 PINNACLE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-2615
Country : US
Telephone Number : 972-832-4345
Fax Number :
Provider Business Practice Location Address
First Line : 4801 MEDICAL CENTER DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75069-1881
Country : US
Telephone Number : 469-714-0006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2019
Last Update Date : 03/30/2021

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