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1447863063
MARIBETH DIPPIE ETHRIDGE-HICKS
METROPOLIS, IL
NPI
1447863063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Ms. MARIBETH DIPPIE ETHRIDGE-HICKS
206 W 5TH ST
METROPOLIS, IL 62960-1810
Phone number: 618-524-9368
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Mailing Address
Ms. MARIBETH DIPPIE ETHRIDGE-HICKS
985 BETHLEHEM CHURCH LN
VIENNA, IL 62995-3717
Phone number: 618-771-3698
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