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Tammy Ricketts, LICSW
NPI 1437248556 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12647 Olive Blvd
Saint Louis, MO 63141 - Phone
- (314) 744-4223
- Organisation at this address
- Connecticut Dental Professionals, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 104
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri