Audrey Vicente
NPI #1356643365 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1356643365
- Entity Type
- Individual
- Name
- Audrey Vicente
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 23, 2010
- Last Updated
- Nov 23, 2010
Practice Location
- Address
- HWY 491 NORTH PINON STREET
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420-1830
- Phone
- (505) 368-1438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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