Individual
KELLY WARDEN RIEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(623) 772-4090
Mailing address
14624 S 179TH AVE, GOODYEAR, AZ 85338-7790
(602) 642-6741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW016412
PA
1041C0700X
Clinical Social Worker
Primary
I.0800377
OH
1041C0700X
Clinical Social Worker
LCSW-15557
AZ
Other
Enumeration date
11/16/2010
Last updated
10/04/2022
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