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Individual

MRS. BETSY LYNN VICKERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
5750 SLAYTON RD, JACKSON, MI 49201-8793
(517) 944-0111
Mailing address
5750 SLAYTON RD, JACKSON, MI 49201-8793
(517) 944-0111

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801090038
MI

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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