Individual
MS. SUSAN MARIE RIDENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
300 ILLINOIS ST, LAWRENCE, KS 66044-1341
(785) 312-0537
Mailing address
300 ILLINOIS ST, LAWRENCE, KS 66044-1341
(785) 312-0537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1252
KS
Other
Enumeration date
03/26/2007
Last updated
11/09/2016
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