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1225693096
MICHAEL VICKERY
LEXINGTON, KY
NPI
1225693096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
MICHAEL VICKERY
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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Mailing Address
MICHAEL VICKERY
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511-1277
Phone number: 859-253-1686
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