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1194312058
VICKI LYNN STEPHENSON
FORT WAYNE, IN
NPI
1194312058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
VICKI LYNN STEPHENSON
3910 LIMA RD
FORT WAYNE, IN 46805-1031
Phone number: 260-420-6010
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Mailing Address
VICKI LYNN STEPHENSON
3910 LIMA RD
FORT WAYNE, IN 46805-1031
Phone number: 260-420-6010
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