Individual
JULENE E RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
200 CENTER AVE, MORIARTY, NM 87035
(505) 832-4254
Mailing address
PO BOX 2000, MORIARTY, NM 87035-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7003
NM
Other
Enumeration date
08/05/2020
Last updated
05/13/2025
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