Provider Information for 1295448264
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JANICE LOUISE RICKS LCSW-S & LISW-S
Sex: Female
NPI: 1295448264
Last Updated: 2023-01-04
Certification Date: 2023-01-04
Certification Date: 2023-01-04
Details
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NPI | 1295448264 | ||||||||||||
Enumeration Date | 2023-01-04 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 181 E LAKEVIEW ST UMATILLA, FL 32784-9588 United States Phone: 407-489-2860 | Fax: | ||||||||||||
Primary Practice Address | 181 E LAKEVIEW ST UMATILLA, FL 32784-9588 United States Phone: 407-489-2860 | Fax: | ||||||||||||
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