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Individual
MS. VICKIE M PERSAUD
Active
Individual
MS. VICKIE M PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/13/2017
Last updated
03/05/2020
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