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1023353117
ANGELA VICKREY
AUSTIN, TX
NPI
1023353117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 10227)
Enumeration Date
2012-11-30
Last Update Date
2012-11-30
Business Address
-- ANGELA VICKREY LCDC
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8500
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Mailing Address
-- ANGELA VICKREY LCDC
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8500
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