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1003372905
ANDRE RIDDICK
LEXINGTON, KY
NPI
1003372905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KY 288964)
Enumeration Date
2019-02-15
Last Update Date
2023-11-28
Business Address
Mr. ANDRE RIDDICK LPCC
1301 WINCHESTER RD STE 147
LEXINGTON, KY 40505-4179
Phone number: 859-991-0710
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Mailing Address
Mr. ANDRE RIDDICK LPCC
1301 WINCHESTER RD STE 147
LEXINGTON, KY 40505-4179
Phone number: 859-991-0710
Copy
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