Individual
AUTUMN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227
(513) 272-2800
Mailing address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
I.2102734-SUPV
OH
1041C0700X
Clinical Social Worker
S.1802237
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
01/25/2018
Last updated
09/27/2022
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