Individual
JENNIFER R RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
101 E 1ST AVE, HUTCHINSON, KS 67501-7147
(620) 662-4300
Mailing address
3903 QUIVIRA DR, HUTCHINSON, KS 67502-2235
(620) 663-8987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3864
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098120A
—
KS
Enumeration date
09/13/2006
Last updated
01/05/2009
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