Individual
MRS. CORTNEY ROBYN RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 649-3068
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 649-3068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6693361-3502
UT
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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