Lanae Nelson Ricks

NPI #1750053864 in Logan, Utah

Provider Information

NPI Number: 1750053864
Entity Type: Individual
Name: Lanae Nelson Ricks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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