Individual
SHILOH RICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
575 BIRCH ST, LINO LAKES, MN 55014-1369
(763) 792-6143
Mailing address
575 BIRCH ST, LINO LAKES, MN 55014-1369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
410454
MN
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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