Individual
BETHANY RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1125 N 9TH ST, BREESE, IL 62230-1367
(618) 570-2090
Mailing address
1125 N 9TH ST, BREESE, IL 62230-1367
(618) 570-2090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022743
IL
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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