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Individual

DR. RICKS WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD ABPP

Contact information

Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
6301013601
MI
103TC0700X
Clinical Psychologist
422
OR
103TC0700X
Clinical Psychologist
Primary
6301013601
MI

Other

Enumeration date
02/13/2007
Last updated
07/22/2008
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