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Individual

VICKIE LYNNE WETHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
851 ANDREA DR, SUITE 4, BUIDLING E, FARMINGTON, NM 87401-6726
(505) 324-5855
(505) 324-5896
Mailing address
851 ANDREA DR, SUITE 4, BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5855
(505) 324-5896

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
B-04623
NM

Other

Enumeration date
09/08/2010
Last updated
10/04/2011
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