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Organization
MVICKMANLTD
Active
Organization
MVICKMANLTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA VICKMAN LCPC, CADC (THERAPIST/OWNER)
(847) 660-3747
Entity
Organization
Contact information
Practice address
200 W SUPERIOR ST, SUITE 403, CHICAGO, IL 60654-3553
(847) 660-3747
Mailing address
3318 GRANT ST, EVANSTON, IL 60201-1830
(847) 660-3747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
11/15/2012
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