Individual
MRS. ELIZABETH RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 741-8484
Mailing address
5686 LOST LN, HARRISON, AR 72601-8847
(870) 688-9494
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
—
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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