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1326426313
EILEEN VICKERY
MONTICELLO, NY
NPI
1326426313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 29481)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- EILEEN VICKERY
396 BROADWAY
MONTICELLO, NY 12701-1157
Phone number: 845-794-8080
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Mailing Address
-- EILEEN VICKERY
PO BOX 25 30 SPRUCE STREET WEST
WURTSBORO, NY 12790-0025
Phone number: 845-800-7465
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