Individual
NYA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 BUCKSPORT RD, ELLSWORTH, ME 04605-2722
(207) 667-6890
(207) 667-6457
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
(207) 498-6431
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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