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1649098997
RICKIE JACOB
DALLAS, TX
NPI
1649098997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
RICKIE JACOB
5220 SPRING VALLEY RD STE 610
DALLAS, TX 75254-3059
Phone number: 972-953-9895
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Mailing Address
RICKIE JACOB
289 ORCHARD LN
SUNNYVALE, TX 75182-2630
Phone number: 630-656-8453
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