Individual
CAITLYN RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4199 GATEWAY BLVD STE 3100, NEWBURGH, IN 47630-7906
(812) 842-4550
(812) 842-4549
Mailing address
4199 GATEWAY BLVD STE 3100, NEWBURGH, IN 47630-7906
(812) 842-4550
(812) 842-4549
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000328A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74000328A
IN STATE GC LICENSE
IN
Enumeration date
06/05/2020
Last updated
06/05/2020
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