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1013514082
CHYNAE A VICKS
WESTAMPTON, NJ
NPI
1013514082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
Mrs. CHYNAE A VICKS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
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Mailing Address
Mrs. CHYNAE A VICKS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
Copy
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