Individual
KIRA LEE RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
316 W INDIANA AVE, CHESTERTON, IN 46304-2349
(915) 730-5390
Mailing address
1346 CHALEMEL DR, CHESTERTON, IN 46304-1480
(915) 730-5390
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008501A
IN
Other
Enumeration date
10/02/2006
Last updated
06/18/2024
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