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1861594483
RICKEY ETHERIDGE
LITTLE ROCK, AR
NPI
1861594483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AR P0907039)
Enumeration Date
2006-09-03
Last Update Date
2024-04-26
Business Address
RICKEY ETHERIDGE LPC
11501 HURON LN STE 5
LITTLE ROCK, AR 72211-2491
Phone number: 501-904-4762
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Mailing Address
RICKEY ETHERIDGE LPC
125 WELLNESS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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