Individual
KOURTNEE E RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
(812) 243-9954
Mailing address
185 HOSPITAL LN, TERRE HAUTE, IN 47802-4247
(812) 243-9954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99121253A
IN
104100000X
Social Worker
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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