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1548752983
LAWAN RICKENBACKER
STATEN ISLAND, NY
NPI
1548752983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
LAWAN RICKENBACKER PsyD
28 TREADWELL AVE
STATEN ISLAND, NY 10302
Phone number: 917-741-3224
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Mailing Address
LAWAN RICKENBACKER PsyD
28 TREADWELL AVE
STATEN ISLAND, NY 10302-1240
Phone number: 917-741-3224
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