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Individual

MS. JILL RILEY RICCARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.W,, L.C.S.W

Contact information

Practice address
1082B WELLINGTON WAY, LEXINGTON, KY 40513-1200
(859) 223-2813
(859) 296-2880
Mailing address
1082B WELLINGTON WAY, LEXINGTON, KY 40513-1200
(859) 223-2813
(859) 296-2880

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
340
KY

Other

Enumeration date
12/30/2006
Last updated
07/08/2007
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