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Individual

MR. ROBERT RIDDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
142 GRIGGS STREET, WATERBURY, CT 06702-1701
(203) 574-1419
(203) 578-4180
Mailing address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/04/2010
Last updated
06/02/2010
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