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Organization
ROBIN K VICKERY LCSW LLC
Active
Organization
ROBIN K VICKERY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN K VICKERY LCSW (OWNER)
(541) 389-6427
Entity
Organization
Contact information
Practice address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(541) 640-2101
(541) 797-6898
Mailing address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(541) 640-2101
(541) 797-6898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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