Individual
IAN C RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6157
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23029
ME
Other
Enumeration date
07/27/2023
Last updated
12/27/2023
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