Individual
DELORIS AVIS RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9702 GAYTON RD # 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Mailing address
9702 GAYTON RD # 181, RICHMOND, VA 23238-4907
(804) 741-7500
(804) 741-7900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002927
VA
Other
Enumeration date
07/28/2006
Last updated
04/13/2009
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