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1821738659
ANGELINA VICKERS
DELAND, FL
NPI
1821738659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH19970)
Enumeration Date
2022-03-30
Last Update Date
2023-07-15
Business Address
ANGELINA VICKERS
121 W PENNSYLVANIA AVE
DELAND, FL 32720-3429
Phone number: 386-258-1618
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Mailing Address
ANGELINA VICKERS
500 BILL FRANCE BLVD UNIT 11465
DAYTONA BEACH, FL 32120-7102
Phone number: 407-900-7905
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