MEREDITH R RICKENBACKER

PORT JEFFERSON, NY
NPI1447669569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  075170-1)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- MEREDITH R RICKENBACKER LCSW
1000 MAIN ST SUITE 3
PORT JEFFERSON, NY 11777-2250
Phone number: 631-827-8722
Mailing Address
-- MEREDITH R RICKENBACKER LCSW
1000 MAIN ST SUITE 3
PORT JEFFERSON, NY 11777-2250
Phone number: 631-827-8722