Individual
MRS. ELIZABETH RICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 COWLES ST, FAIRBANKS, AK 99701-5918
(907) 458-2644
(907) 459-3521
Mailing address
PO BOX 73720, FAIRBANKS, AK 99707-3720
(347) 733-2003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
073654
NY
104100000X
Social Worker
Primary
165188
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1752742
—
AK
Enumeration date
09/29/2010
Last updated
06/10/2025
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