RICKY RAY MARTIN

FLORENCE, SC
NPI1821113622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  ICADC15584)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
-- RICKY RAY MARTIN
601 GREGG AVE
FLORENCE, SC 29502
Phone number: 843-665-9349
Mailing Address
-- RICKY RAY MARTIN
PO BOX 6196 601 GREGG AVE
FLORENCE, SC 29502
Phone number: 843-665-9349
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