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1790142875
VIKKI BOUCK
LA MESA, CA
NPI
1790142875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 23706)
Enumeration Date
2016-01-20
Last Update Date
2016-01-20
Business Address
-- VIKKI BOUCK LCSW
3665 AVOCADO VILLAGE CT UNIT 165
LA MESA, CA 91941-7375
Phone number: 619-665-4142
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Mailing Address
-- VIKKI BOUCK LCSW
3665 AVOCADO VILLAGE CT UNIT 165
LA MESA, CA 91941-7375
Phone number: 619-665-4142
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