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1356409734
JAKE EDWIN RICKETSON
HIGH POINT, NC
NPI
1356409734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NC 1167)
Enumeration Date
2006-12-05
Last Update Date
2012-02-09
Business Address
Dr. JAKE EDWIN RICKETSON PsyD
405 WESTWOOD AVE
HIGH POINT, NC 27262-4325
Phone number: 336-887-7350
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Mailing Address
Dr. JAKE EDWIN RICKETSON PsyD
405 WESTWOOD AVE
HIGH POINT, NC 27262-4325
Phone number: 336-887-7350
Copy
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