MR. Halle Ricketts, MSW LICSW/LCSW LSSW
NPI #1033367719 in Grenada, Mississippi
Provider Information
- NPI Number
- 1033367719
- Entity Type
- Individual
- Name
- MR. Halle Ricketts, MSW LICSW/LCSW LSSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW LICSW/LCSW LSSW
- Enumeration Date
- Sep 5, 2008
- Last Updated
- Sep 5, 2008
Practice Location
- Address
- 121 N LYNCH ST
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-2004
- Phone
- (601) 226-0284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker - School — School |
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