Individual
RILEY JO KOLDENHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 DUNN DR, FORT NOVOSEL, AL 36362-2105
(970) 844-0523
Mailing address
3553 COUNTY ROAD 234, DURANGO, CO 81301
(970) 844-0523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5371C
AL
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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