RICKY SPAIN

WHEATON, IL
NPI1801314307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-09-05
Last Update Date2021-12-22
Business Address
RICKY SPAIN
111 N COUNTY FARM RD
WHEATON, IL 60187
Phone number: 630-682-7400
Mailing Address
RICKY SPAIN
312 CASCADE LN
OSWEGO, IL 60543-7339
Phone number:
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