KAYCIE VICKMAN

GREEN BAY, WI
NPI1992442875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19695-130)
Enumeration Date2022-05-12
Last Update Date2022-05-12
Business Address
KAYCIE VICKMAN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
KAYCIE VICKMAN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740