Individual
DR. MARILYN ANNE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
197 WITHERSPOON CT, ATHENS, GA 30606-4840
(706) 543-7584
Mailing address
197 WITHERSPOON CT, ATHENS, GA 30606-4840
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
382
GA
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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