Individual
TRACY LYNN VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4870B COUNTY ROAD 45 S, HEADLAND, AL 36345-6352
(334) 790-9641
Mailing address
4870B COUNTY ROAD 45 S, HEADLAND, AL 36345-6352
(334) 790-9641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6169C
AL
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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