Individual
CHARLES FRED RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 IVES DAIRY RD, SUITE 228, MIAMI, FL 33179-2538
(561) 577-5416
Mailing address
1031 IVES DAIRY RD, SUITE 228, MIAMI, FL 33179-2538
(561) 577-5416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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