Individual
ROXANNE M. HERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 372-3290
Mailing address
320 W CAMERON ST, TOMAH, WI 54660-2566
(608) 372-4168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1836-120
WI
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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