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1972937084
VICKIE AMANDA GAINES
WILMINGTON, DE
NPI
1972937084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-08-26
Last Update Date
2013-08-26
Business Address
-- VICKIE AMANDA GAINES
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-633-2690
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Mailing Address
-- VICKIE AMANDA GAINES
2500 W 4TH ST
WILMINGTON, DE 19805-3367
Phone number: 302-633-2690
Copy
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