Individual
MRS. MARILYN LOUISE RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 N DECATUR BLVD, LAS VEGAS, NV 89108-2955
(702) 790-2933
Mailing address
3816 FUSELIER DR, NORTH LAS VEGAS, NV 89032-3003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XXXXXXXXXXX
NV
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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