Individual
AMY S RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
767 N YOUNG, MESA, AZ 85203-6530
(480) 510-5805
Mailing address
767 N YOUNG, MESA, AZ 85203-6530
(480) 510-5805
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7201
AZ
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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