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1962963512
KEN VICKERY
VANCOUVER, WA
NPI
1962963512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L6532)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
KEN VICKERY LCSW
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 503-229-8262
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Mailing Address
KEN VICKERY LCSW
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 502-220-8262
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