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1811580988
RICKEY HOWARD LANCASTER
JEFFERSON CITY, MO
NPI
1811580988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2008022664)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
RICKEY HOWARD LANCASTER
2616 JENNIFER DR
JEFFERSON CITY, MO 65101-3995
Phone number: 314-566-3107
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Mailing Address
RICKEY HOWARD LANCASTER
2616 JENNIFER DR
JEFFERSON CITY, MO 65101-3995
Phone number: 314-566-3107
Copy
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