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1992281505
KORTNIE VICKERY
MIDDLEBORO, MA
NPI
1992281505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
KORTNIE VICKERY
52 OAK ST
MIDDLEBORO, MA 02346-2078
Phone number: 774-213-8448
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Mailing Address
KORTNIE VICKERY
52 OAK ST
MIDDLEBORO, MA 02346-2078
Phone number: 774-213-8448
Copy
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