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1124370481
VICKIE ANN LONG
ANAHEIM, CA
NPI
1124370481
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Former Name
VICKIE ANN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
Ms. VICKIE ANN LONG Johnson
2531 W WOODLAND DR
ANAHEIM, CA 92801-2637
Phone number: 714-226-9888
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Mailing Address
Ms. VICKIE ANN LONG Johnson
PO BOX 6272
ORANGE, CA 92863
Phone number: 714-408-3280
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