Individual
RICACHA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447
Mailing address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
CT
Other
Enumeration date
01/28/2011
Last updated
05/13/2021
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