KATHLEEN ELAINE VICKERS

FITCHBURG, MA
NPI1043888514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
(Licence: MA  S90889172)
Enumeration Date2021-06-11
Last Update Date2021-06-11
Business Address
KATHLEEN ELAINE VICKERS
1005 MAIN ST
FITCHBURG, MA 01420-3179
Phone number: 160-347-5519
Mailing Address
KATHLEEN ELAINE VICKERS
1005 MAIN ST
FITCHBURG, MA 01420-3179
Phone number: 160-347-5519
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