Individual
JASON E. RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1481 WEST 10TH ST., INDIANAPOLIS, IN 46202
(317) 988-3351
Mailing address
1481 WEST 10TH ST., INDIANAPOLIS, IN 46202
(317) 988-3351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006326A
IN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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