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Individual

DR. FRANCES BERNANDINE RICKETTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004493
IL
106H00000X
Marriage & Family Therapist
00033
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08122334
BLUE CROSS BLUE SHIELD
01
104119200
DEPT OF LABOR OWEP
01
188390
MANAGED HEALTH NETWORK
01
245866
MIDLANDS CHOICE
01
5066340
AETNA
05
MIS061227002
IA
01
MIS207028000
MAGELLAN
Enumeration date
06/21/2006
Last updated
08/27/2012
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