Individual
MR. NORMAN JAMES VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9610 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-5204
(314) 219-9029
Mailing address
9610 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-5204
(314) 219-9029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017041326
MO
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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