DIANE VICKERMAN

SAN ANDREAS, CA
NPI1033530274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-12-13
Last Update Date2013-12-13
Business Address
-- DIANE VICKERMAN
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249-9713
Phone number: 209-890-7717
Mailing Address
-- DIANE VICKERMAN
PO BOX 5222
BEAR VALLEY, CA 95223-5222
Phone number: 209-890-7717
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