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1275285108
PATRICK VICKERY
CHICAGO, IL
NPI
1275285108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225C00000X Rehabilitation Counselor
(Licence: 00344723)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
PATRICK VICKERY CRC, LPC
820 S DAMEN AVE # 116-C
CHICAGO, IL 60612-3728
Phone number: 312-569-5846
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Mailing Address
PATRICK VICKERY CRC, LPC
820 S DAMEN AVE # 116-C
CHICAGO, IL 60612-3728
Phone number: 312-569-5846
Copy
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