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Individual

MS. EMILY M RIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, PLPC

Contact information

Practice address
119 N BARR ST, CENTRALIA, MO 65240-1417
(573) 682-0935
(573) 682-1369
Mailing address
119 N BARR ST, CENTRALIA, MO 65240-1417
(573) 682-0935
(573) 682-1369

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2008032230
MO
101YS0200X
School Counselor
Primary
0405355
MO

Other

Enumeration date
11/13/2008
Last updated
11/13/2008
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