Individual
KARI RIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5410 HOMBERG DR, KNOXVILLE, TN 37919-5031
(865) 387-5062
Mailing address
5410 HOMBERG DR, KNOXVILLE, TN 37919-5031
(865) 387-5062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6581
TN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q069903
—
TN
Enumeration date
08/31/2011
Last updated
12/21/2022
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