Individual
VICKIE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 ENTERPRISE PATH, SUITE 201, HIRAM, GA 30141-2656
(678) 567-0920
Mailing address
126 ENTERPRISE PATH, SUITE 201, HIRAM, GA 30141-2656
(678) 567-0920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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