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Organization

ANNA S RICKELL LCSW PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA S RICKELL MS (MS IN SOCIAL WORK)
(914) 714-3816
Entity
Organization

Contact information

Practice address
210 N RADCLIFF WAY, SPARTANBURG, SC 29301-5389
(914) 714-3816
Mailing address
210 N RADCLIFF WAY, SPARTANBURG, SC 29301-5389
(914) 714-3816
(864) 541-7723

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0269521
NY
251S00000X
Community/Behavioral Health Agency
12432
MD
251S00000X
Community/Behavioral Health Agency
8471
SC

Other

Enumeration date
06/07/2012
Last updated
06/07/2012
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