Individual
MRS. JULIE CHRISTINE RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
152 N POWER RD STE 1, MESA, AZ 85205-8436
(480) 579-3910
(480) 452-1448
Mailing address
2652 E LOS ALAMOS CT, GILBERT, AZ 85295-9044
(602) 463-3751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-13012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598255036
—
AZ
Enumeration date
01/10/2020
Last updated
01/10/2020
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