| NPI | 1386157881 |
|---|---|
| Professional Name | RICO D STREET |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 11552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M9136) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |