Individual
TIFFANY RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 CHESTNUT RIDGE RD, WEST UNION, OH 45693-9584
(937) 544-5581
Mailing address
192 CHESTNUT RIDGE RD, WEST UNION, OH 45693-9584
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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