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1356524664
VICKIE LYNN JETER
CORPUS CHRISTI, TX
NPI
1356524664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 9118)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
-- VICKIE LYNN JETER LCDC
1633 18TH STREET
CORPUS CHRISTI, TX 78404
Phone number: 361-887-7070
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Mailing Address
-- VICKIE LYNN JETER LCDC
1801 S ALAMEDA STE 150
CORPUS CHRISTI, TX 78404
Phone number: 361-887-7070
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