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Individual

MS. BLANCHE MARY RIDGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
HIGHWAY 160 M.P. 394.3, KAYENTA, AZ 68033
(928) 697-4194
Mailing address
PO BOX 368, COUNSELING SERVICE, KAYENTA, AZ 86033-0368
(602) 967-4194

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103
WY

Other

Enumeration date
09/08/2014
Last updated
10/28/2016
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