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1225369689
FRED RICKMAN
MADISON, MS
NPI
1225369689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1005)
Enumeration Date
2010-01-26
Last Update Date
2011-12-27
Business Address
-- FRED RICKMAN LCSW
254 INGLESIDE DR
MADISON, MS 39110-9524
Phone number: 601-695-1919
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Mailing Address
-- FRED RICKMAN LCSW
PO BOX 1995
MADISON, MS 39130-1995
Phone number: 601-695-1919
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