Individual
MR. DUANE VICKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1650 MISSION ST, SAN FRANCISCO, CA 94103-2414
(415) 355-6778
Mailing address
1650 MISSION ST, SAN FRANCISCO, CA 94103-2414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61035
CA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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