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Individual
RICKELA RIDOUT
Active
Individual
RICKELA RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
17-44989
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/03/2018
Last updated
08/20/2019
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