Individual
AMY MARIE RIECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW-A
Contact information
Practice address
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117-5967
(704) 360-3049
Mailing address
145 EDGEWOOD AVE NE, CONCORD, NC 28025-3353
(980) 258-2987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013519
NC
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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