Individual
BREION RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2850 N RIDGE RD STE 210, ELLICOTT CITY, MD 21043-3463
(410) 203-1649
Mailing address
7530 HEARTHSIDE WAY UNIT 161, ELKRIDGE, MD 21075-7240
(443) 621-2313
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31053
MD
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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