Individual
MISTI RIDENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 808-2018
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 808-2018
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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