Ricker Gray, Autumn Campbell

Ricker Gray, Autumn Campbell is an sole proprietor health care provider with primary practice located at 3 Courthouse Ln Building B, Unit 8, Chelmsford MA 01824-1722. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ricker Gray, Autumn Campbell can be contacted via phone (978) 710-7569.

Contact Information

Primary practice address
3 Courthouse Ln Building B, Unit 8 Chelmsford MA 01824-1722
Phone: (978) 710-7569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 116382 Massachusetts

Profile Details

NPI number 1639414774
LBN Legal business name Ricker Gray, Autumn Campbell
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2012
Last updated Dec 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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