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1962266676
BRANDON PATRICK RIDDICK
ELIZABETH CITY, NC
NPI
1962266676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A19701)
Enumeration Date
2024-02-13
Last Update Date
2024-02-14
Business Address
BRANDON PATRICK RIDDICK LCMHC-A
1400 W CHURCH ST
ELIZABETH CITY, NC 27909-4510
Phone number: 336-457-4899
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Mailing Address
BRANDON PATRICK RIDDICK LCMHC-A
132 PINE RIDGE DR
SOUTH MILLS, NC 27976-9426
Phone number:
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