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1699175000
KELLY VICKREY
CHANDLER, AZ
NPI
1699175000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-11614)
Enumeration Date
2014-09-04
Last Update Date
2024-10-25
Business Address
KELLY VICKREY
3042 W QUEEN CREEK RD
CHANDLER, AZ 85248-2815
Phone number: 520-796-2600
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Mailing Address
KELLY VICKREY
PO BOX 923
CHANDLER, AZ 85244-0923
Phone number: 602-370-1742
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