Individual
KAYLA RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 RADFORD AVE, RICHMOND, VA 23230-3512
(804) 356-1996
Mailing address
14211 BRIGHTSTONE TER, MIDLOTHIAN, VA 23112-1572
(917) 485-0047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018056
VA
Other
Enumeration date
07/17/2025
Last updated
07/20/2025
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