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Individual

MR. RONALD DEAN VICK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2501 LAKERIDGE DR, STE. 104C, NORFOLK, NE 68701-2558
(402) 640-5569
(402) 844-3406
Mailing address
2501 LAKERIDGE DR, STE. 104C, NORFOLK, NE 68701-2558
(402) 640-5569
(402) 844-3406

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9588
NE
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
10/04/2010
Last updated
04/30/2012
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