Vickie Vaughn

NPI #1881040228 in Hiram, Georgia

Provider Information

NPI Number: 1881040228
Entity Type: Individual
Name: Vickie Vaughn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 4, 2016
Last Updated: May 4, 2016

Practice Location

Address: 126 ENTERPRISE PATH
Address 2: SUITE 201
City: Hiram
State: Georgia
ZIP Code: 30141-2656
Phone: (678) 567-0920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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