Individual
MS. VICKI LEWIS O'GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, NCC
Contact information
Practice address
670 N. ORLANDO AVE., #200, MAITLAND, FL 32751
(407) 539-2299
(407) 539-1709
Mailing address
670 N. ORLANDO AVE., #200, MAITLAND, FL 32751
(407) 539-2299
(407) 539-1709
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC3466
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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