Individual
REBECCA ANNE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
138 E 12300 S UNIT 841, DRAPER, UT 84020-7976
(575) 649-5313
Mailing address
138 E 12300 S UNIT 841, DRAPER, UT 84020-7976
(575) 649-5313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10413439-3502
UT
1041C0700X
Clinical Social Worker
Primary
10413439-3501
UT
Other
Enumeration date
07/03/2018
Last updated
03/20/2023
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