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Individual

JOSHUA RICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9910 DUPONT CIRCLE DR E STE 140, FORT WAYNE, IN 46825-1618
(260) 570-4515
(260) 209-0762
Mailing address
4820 OAK KNOB RUN, FORT WAYNE, IN 46845-8939
(260) 417-2901

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/29/2020
Last updated
05/29/2020
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