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Individual

RICKEY DOVERS

Active
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Individual

RICKEY DOVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LCDC, LBSW

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1526-1000
TX
101Y00000X
Counselor
F17929
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3625
TX
104100000X
Social Worker
22770
TX

Other

Enumeration date
08/21/2009
Last updated
10/24/2010
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