Individual
ERIC STEPHEN VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1600 ALDERSGATE RD, LITTLE ROCK, AR 72205-6614
(501) 661-0720
Mailing address
613 N FISHER ST, JONESBORO, AR 72401-2152
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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