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Individual

ELIZABETH RICKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LCAS, CCS

Contact information

Practice address
501 N SUNSET LN, RAYMORE, MO 64083-9402
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1724
NC
1041C0700X
Clinical Social Worker
Primary
2015012083
MO
1041C0700X
Clinical Social Worker
4451
KS
1041C0700X
Clinical Social Worker
C002979
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6003567
NC
Enumeration date
08/01/2006
Last updated
08/05/2021
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