Individual
STEPHANIE GRINDSTAFF RICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 467-3644
Mailing address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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