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1538305099
CHARLES ANTHONY RICKS
LOS ANGELES, CA
NPI
1538305099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2009-01-05
Last Update Date
2023-08-25
Business Address
CHARLES ANTHONY RICKS
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
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Mailing Address
CHARLES ANTHONY RICKS
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
Copy
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