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Individual
AMANDA MARIE RIDGEWAY
Active
Individual
AMANDA MARIE RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1710468
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
K1402161107
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
RI-K1402161107
CA
Other
Enumeration date
02/10/2015
Last updated
06/13/2017
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