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1144470410
RICKIE GLENN
SACRAMENTO, CA
NPI
1144470410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
Mr. RICKIE GLENN
7600 GREENHAVEN DR SUITE 202
SACRAMENTO, CA 95831-5604
Phone number: 916-665-1804
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Mailing Address
Mr. RICKIE GLENN
7600 GREENHAVEN DR SUITE 202
SACRAMENTO, CA 95831-5604
Phone number: 916-665-1804
Copy
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