Vicki J Serum, MA, LICSW

NPI #1831149145 in Baxter, Minnesota

Provider Information

NPI Number
1831149145
Entity Type
Individual
Name
Vicki J Serum, MA, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MA, LICSW
Enumeration Date
May 10, 2006
Last Updated
Oct 30, 2007

Practice Location

Address
13073 EVERGREEN DR
City
Baxter
ZIP Code
56425-7443
Phone
(218) 851-3813

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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