RICKIE WAYNE IRVIN

DECATUR, AL
NPI1902300262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
RICKIE WAYNE IRVIN MS
1315 13TH AVE SE
DECATUR, AL 35601-4308
Phone number: 256-260-7306
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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