Organization
VICKI L. EATON, PC
Active
Other names
Vicki L Eaton PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI LEE EATON LCSW (PRESIDENT)
(480) 603-5360
Entity
Organization
Contact information
Practice address
825 W JEROME CIR, MESA, AZ 85210-5939
(480) 603-5360
Mailing address
1501 COVENTRY RD, SCHAUMBURG, IL 60195-3229
(847) 781-1407
(847) 781-1407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-005721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626654
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/24/2007
Last updated
04/08/2020
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