Serum, Vicki J

Serum, Vicki J is an sole proprietor health care provider with primary practice located at 13073 Evergreen Dr , Baxter MN 56425-7443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Serum, Vicki J can be contacted via phone (218) 851-3813.

Contact Information

Primary practice address
13073 Evergreen Dr Baxter MN 56425-7443
Fax: (218) 824-9507
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6699LICSW Minnesota

Profile Details

NPI number 1831149145
LBN Legal business name Serum, Vicki J
Credentials MA, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Oct 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers