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1447669569
MEREDITH R RICKENBACKER
PORT JEFFERSON, NY
NPI
1447669569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075170-1)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- MEREDITH R RICKENBACKER LCSW
1000 MAIN ST SUITE 3
PORT JEFFERSON, NY 11777-2250
Phone number: 631-827-8722
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Mailing Address
-- MEREDITH R RICKENBACKER LCSW
1000 MAIN ST SUITE 3
PORT JEFFERSON, NY 11777-2250
Phone number: 631-827-8722
Copy
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