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Individual
DR. NELLY F DE RIDDER
Active
Individual
DR. NELLY F DE RIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R036473-1
NY
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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