Individual
KIM S RICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2753
(401) 729-2923
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4474
(401) 729-2753
(401) 729-2923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW00998
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW00998
STATE OF RHODE ISLAND
RI
Enumeration date
01/25/2013
Last updated
01/25/2013
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