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Individual
ROBERT H VICKREY
Active
Individual
ROBERT H VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001430A
IN
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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