Individual
MRS. HELEN CLARK RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 CYPRESS VILLAGE DRIVE, HOUMA, LA 70360
(985) 857-3980
(985) 851-0064
Mailing address
320 CYPRESS VILLAGE DRIVE, HOUMA, LA 70360
(985) 857-3980
(985) 851-0064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722731
—
LA
Enumeration date
11/21/2006
Last updated
07/08/2007
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