Individual
ROBIN KAY VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(541) 640-2101
(541) 797-6898
Mailing address
497 SW CENTURY DR STE 102, BEND, OR 97702-1167
(541) 640-2101
(541) 797-6898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3547
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635975
—
OR
Enumeration date
08/14/2007
Last updated
06/03/2020
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