Individual
LAUREN TAYLOR RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 JEFFERSON AVE, MEMPHIS, TN 38104-2705
(901) 239-2555
Mailing address
1957 JEFFERSON AVE, MEMPHIS, TN 38104-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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