Thiesha A Ricketts
Thiesha A Ricketts is a Clinical Social Worker in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1715 E 95th StChicago, IL 60617-4708
Phone: (773) 768-4437
Fax: (773) 564-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 1490223065 (IL) |
|---|
Record details
| NPI number | 1457932105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 15, 2021 |
| Last updated in NPPES | April 15, 2021 |
| Certification date | April 15, 2021 |
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