Individual
MELISSA RIDLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MAINE ST, SUITE 202, BRUNSWICK, ME 04011-2049
(207) 373-0620
(207) 373-0628
Mailing address
14 MAINE ST, SUITE 202, BRUNSWICK, ME 04011-2049
(207) 373-0620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11246
ME
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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