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1144658089
RANDY FICKLIN
ROCKVILLE CENTRE, NY
NPI
1144658089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-30
Last Update Date
2013-10-30
Business Address
-- RANDY FICKLIN
30 HEMPSTEAD AVE STE H9
ROCKVILLE CENTRE, NY 11570-4034
Phone number: 516-764-5522
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Mailing Address
-- RANDY FICKLIN
30 HEMPSTEAD AVE STE H9
ROCKVILLE CENTRE, NY 11570-4034
Phone number:
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