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1396763223
MICHELLE L RICKERBY
PROVIDENCE, RI
NPI
1396763223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: RI MD09800)
Enumeration Date
2006-07-18
Last Update Date
2013-09-03
Business Address
-- MICHELLE L RICKERBY MD
593 EDDY STREET POTTER BASEMENT
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8638
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Mailing Address
-- MICHELLE L RICKERBY MD
593 EDDY STREET POTTER 3
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4318
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