KATY RUTH VICKERS

PORT SAINT LUCIE, FL
NPI1396273629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-05-31
Last Update Date2017-05-31
Business Address
KATY RUTH VICKERS
1450 SE VESTHAVEN CIR
PORT SAINT LUCIE, FL 34952-8816
Phone number: 772-801-4649
Mailing Address
KATY RUTH VICKERS
PO BOX 2721
FORT PIERCE, FL 34954-2721
Phone number:
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