Individual
MARTHA J. RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
275 MAIN ST, #204, BIDDEFORD, ME 04005-2432
(888) 773-8380
(888) 773-8380
Mailing address
PO BOX 7043, SCARBOROUGH, ME 04070-7043
(888) 773-8380
(888) 773-8380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4210
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278590099
—
ME
Enumeration date
09/15/2006
Last updated
03/20/2017
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