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1104298959
JOHN FRANK RICKS
JAMAICA, NY
NPI
1104298959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 19268)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- JOHN FRANK RICKS CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
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Mailing Address
-- JOHN FRANK RICKS CASAC
11202 210TH ST
QUEENS VILLAGE, NY 11429-2225
Phone number:
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