Individual
RICKEY WOOLFOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3644 W GOLDMINE MOUNTAIN DR, QUEEN CREEK, AZ 85142-6593
(520) 891-2067
Mailing address
3644 W GOLDMINE MOUNTAIN DR, QUEEN CREEK, AZ 85142-6593
(520) 891-2067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2400630
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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