Individual
MARSHALL MYRON RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1620 GREENVIEW DR SW, ROCHESTER, MN 55902-4319
(507) 289-2089
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26383
MN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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