Doctor Name: | MS. MARLYNN ANNETTE RIKER |
NPI Number: | 1104070069 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW #289 |
Business Practice Address: | 1121 Road 9 1/2 Powell, WY - 824359254 |
Business Phone Number: | 3077547970 |
Business Fax Number: | 3077547971 |
Mailing Address: | 1121 Road 9 1/2, POWELL |
State: | WY |
Postal Code: | 824359254 |
Phone Number: | 3077547970 |
Fax Number: | 3077547971 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW #289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |