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Individual
KATHRYN R RIDGEWAY
Active
Individual
KATHRYN R RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CANDIDATE
OR
104100000X
Social Worker
LSW.0009921498
CO
104100000X
Social Worker
—
NULL
1041C0700X
Clinical Social Worker
Primary
L8005
OR
Other
Enumeration date
10/10/2012
Last updated
07/14/2026
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