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Individual
MS. VICKI W BRACKETT
Active
Individual
MS. VICKI W BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002644
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7779221
AETNA
VA
Enumeration date
01/29/2007
Last updated
09/24/2009
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