Individual
MS. RENITA LYNN RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 CENTENNIAL ST, #219, LA PLATA, MD 20646-0219
(202) 618-1084
Mailing address
PO BOX 219, LA PLATA, MD 20646-0219
(202) 618-1084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
27949
MD
Other
Enumeration date
04/29/2022
Last updated
01/15/2025
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