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1023897980
MINNIE SIMMONS VICKERS
WAKE FOREST, NC
NPI
1023897980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P019317)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
MINNIE SIMMONS VICKERS MSW, LCSWA
2000 S MAIN ST
WAKE FOREST, NC 27587-9335
Phone number: 919-521-0665
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Mailing Address
MINNIE SIMMONS VICKERS MSW, LCSWA
1125 RESERVOIR VIEW LN
WAKE FOREST, NC 27587-3025
Phone number: 919-523-1156
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