Individual
VICKIE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 DAVENPORT AVE, SAGINAW, MI 48602-3647
(989) 249-8844
(989) 249-4518
Mailing address
3110 DAVENPORT AVE, SAGINAW, MI 48602-3647
(989) 249-8844
(989) 249-4518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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