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1902300262
RICKIE WAYNE IRVIN
DECATUR, AL
NPI
1902300262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
RICKIE WAYNE IRVIN MS
1315 13TH AVE SE
DECATUR, AL 35601-4308
Phone number: 256-260-7306
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Mailing Address
RICKIE WAYNE IRVIN MS
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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