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1992442875
KAYCIE VICKMAN
GREEN BAY, WI
NPI
1992442875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19695-130)
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
KAYCIE VICKMAN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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Mailing Address
KAYCIE VICKMAN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Copy
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