RICKIE INEZ BERRETT LAKE

SALT LAKE CITY, UT
NPI1942271028
Former NameRICKIE BERRETT LUNDSTROM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  139965-3501)
Enumeration Date2006-01-27
Last Update Date2010-11-19
Business Address
Ms. RICKIE INEZ BERRETT LAKE LCSW
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7225
Mailing Address
Ms. RICKIE INEZ BERRETT LAKE LCSW
5576 ALPINE POINT CIR
SALT LAKE CITY, UT 84118-9275
Phone number: 801-835-3511