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1790977783
RICKEY E HENDERSON
COLUMBIA, SC
NPI
1790977783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-08-14
Last Update Date
2014-08-07
Business Address
MR. RICKEY E HENDERSON MA
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-4860
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Mailing Address
MR. RICKEY E HENDERSON MA
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-4830
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