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Individual

PATRICK LEE RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 18TH ST W FL 1, JASPER, AL 35501-5363
(205) 582-4345
Mailing address
1339 MARGARET LN, JASPER, AL 35504-8773

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05738
AL

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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