Individual
MRS. LYNZE D. VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3415 DEERFIELD LN, VALDOSTA, GA 31606-0646
(334) 401-0595
Mailing address
3415 DEERFIELD LN, VALDOSTA, GA 31606-0646
(334) 401-0595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT001430
GA
106H00000X
Marriage & Family Therapist
Primary
MT3560
FL
Other
Enumeration date
02/04/2015
Last updated
03/07/2023
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