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Individual

MIKAYLA VICKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ASSOCIATE LICSW

Contact information

Practice address
111 UNIVERSITY PKWY STE 103, YAKIMA, WA 98901-1471
(509) 225-0428
Mailing address
1403 S 22ND AVE # B, YAKIMA, WA 98902-5119
(509) 225-0428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61531393

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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