Individual
JENNIFER L RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 N OAK TRFY STE 17, GLADSTONE, MO 64118-3353
(816) 246-4465
(816) 524-7008
Mailing address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 287-4094
(816) 524-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011034098
MO
Other
Enumeration date
12/15/2020
Last updated
06/10/2025
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