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Individual

ALEXSANDRA RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
11016 E STATE HIGHWAY 76, BRANSON WEST, MO 65737-9775
(417) 527-8877
Mailing address
3554 W MADISON ST, SPRINGFIELD, MO 65802-5745
(417) 818-6835

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025030777
MO

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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