KEN VICKERY

VANCOUVER, WA
NPI1962963512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L6532)
Enumeration Date2019-03-27
Last Update Date2019-03-27
Business Address
KEN VICKERY LCSW
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 503-229-8262
Mailing Address
KEN VICKERY LCSW
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 502-220-8262