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Organization

ASHLEY RIDEOUT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY RIDEOUT LCSW (OWNER)
(727) 776-1719
Entity
Organization

Contact information

Practice address
1022 MAIN ST STE B, DUNEDIN, FL 34698-5237
(727) 379-2273
Mailing address
235 SAN SALVADOR DR, DUNEDIN, FL 34698-4232
(727) 776-1719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6253
FL

Other

Enumeration date
09/25/2017
Last updated
09/15/2022
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