Individual
E. JANE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC
Contact information
Practice address
1411 WESLEY DR, SALISBURY, MD 21801-7149
(410) 642-4011
Mailing address
1411 WESLEY DR, SALISBURY, MD 21801-7149
(410) 642-4011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04862
MD
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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