Individual
ANGELA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 W COLUMBIA AVE, MONTICELLO, KY 42633-1630
(606) 348-9318
Mailing address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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