TINA MARIA RICKS

IDAHO FALLS, ID
NPI1487091120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LMSW-32947)
Enumeration Date2013-06-03
Last Update Date2019-01-09
Business Address
TINA MARIA RICKS LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Phone number: 208-524-7400
Mailing Address
TINA MARIA RICKS LMSW
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
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