Individual
BRIANA RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
761 LAFAYETTE AVE, CHEBOYGAN, MI 49721-2117
(231) 250-9376
Mailing address
12575 NOVOTNY RD, CHARLEVOIX, MI 49720-9258
(231) 250-9376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006415
MI
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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