Individual
VICI LYNN ECKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
111 PETROL POINTE, SUITE B 3, PEACHTREE CITY, GA 30269-1553
(770) 841-8318
(770) 719-7846
Mailing address
PO BOX 1432, FAYETTSVILLE, GA 30214-6432
(770) 841-8318
(770) 719-7846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCSW CSW002904
GA
103T00000X
Psychologist
LSCSW1186
KS
103T00000X
Psychologist
—
IL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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