Tami L. Rickert LSW

NPI 1932228053 - Counselor - 101Y00000X

NPI Details
NPI 1932228053
Gender Female
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2055 GARRETT WAY
SUITE 1
POCATELLO ID, 83201-5100, US
Phone (208) 233-7832
Fax
Business Location
PO BOX 4908
POCATELLO ID, 83205-4908, US
Phone (208) 233-7832
Fax (208) 236-6695
Toxanomy
Taxonomy Code 101Y00000X
License State Idaho
License Number LSW-25688
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According to our database, Tami L. Rickert LSW NPI is 1932228053, taxonomy code is 101Y00000X and license number is LSW-25688, license state is located at Idaho. Tami L. Rickert LSW physically located at 2055 Garrett Way, Pocatello ID, 83201-5100. NPI Number Tami L. Rickert LSW has the Individual type.

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1932228053 NPI number is provided on an as is basis without warranty of any kind. 1932228053 is maintained by the National Plan & Provider Enumeration System. The contents of Tami L. Rickert LSW are for informational purposes only.