| NPI | 1699954891 | 
|---|---|
| Doing Business As | VICKI L EATON PC | 
| Entity Type | Organization | 
| Authorized Contact | VICKI LEE EATON President 480-603-5360  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-005721)  | 
| Enumeration Date | 2007-10-24 | 
| Last Update Date | 2020-04-08 |