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NPI Code Detail

MEDICARE: MRS. JULIE CHRISTINE RICKMAN LMSW

MEDICARE: MRS. JULIE CHRISTINE RICKMAN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLMSW-13012AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053951798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE CHRISTINE RICKMAN LMSW
Provider Business Mailing Address
First Line : 2652 E LOS ALAMOS CT
Second Line :
City : GILBERT
State : AZ
Zip : 85295-9044
Country : US
Telephone Number : 602-463-3751
Fax Number :
Provider Business Practice Location Address
First Line : 152 N POWER RD STE 1
Second Line :
City : MESA
State : AZ
Zip : 85205-8436
Country : US
Telephone Number : 480-579-3910
Fax Number : 480-452-1448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 01/10/2020

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