Individual
MRS. LEANN M RIDER-HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
GENESIS MENTAL HEALTH ASSOC, 1218 CENTRAL AVE, FORT DODGE, IA 50501
(514) 571-4422
(515) 576-6441
Mailing address
GENESIS MENTAL HEALTH ASSOC, 1218 CENTRAL AVE, FORT DODGE, IA 50501
(515) 571-4422
(515) 576-6441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426189
—
IA
01
—
40679
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/02/2006
Last updated
02/11/2021
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