Individual
VICKY LYNN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG/T-C
Contact information
Practice address
1325 JEFFERSON AVE, MEMPHIS, TN 38104-2013
(901) 755-1856
Mailing address
PO BOX 752552, MEMPHIS, TN 38175-2552
(901) 755-1856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
09/04/2008
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