Individual
LAURA JACK RICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(850) 212-7757
Mailing address
7700 RENFREW LN, COCONUT CREEK, FL 33073-3508
(850) 212-7757
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
2897
NY
Other
Enumeration date
10/14/2018
Last updated
11/01/2023
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