Individual
MONIE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 S 500 E STE 135, CLEARFIELD, UT 84015-4001
(801) 815-3443
(801) 776-4162
Mailing address
102 W 425 S, CENTERVILLE, UT 84014-3210
(801) 864-5629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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