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Individual
VICKIE MARIE LARSON-HILLS
Active
Individual
VICKIE MARIE LARSON-HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L7637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500717536
—
OR
01
—
L7637
LICENSED CLINICAL SOCIAL WORKER LICENSE #
OR
Enumeration date
10/04/2016
Last updated
05/10/2021
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