Individual
KELLY M RICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 W STATE ST, PENDLETON, IN 46064-1063
(765) 221-9495
Mailing address
207 W STATE ST, PENDLETON, IN 46064-1063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184365660
NPI2
IN
Enumeration date
09/13/2016
Last updated
07/08/2025
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