Individual
AIMEE KELTNER RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
778 W FRONTAGE RD STE 113, NORTHFIELD, IL 60093-1209
(847) 340-5193
Mailing address
1118 PINE VALLEY CT, ELGIN, IL 60124-3118
(847) 340-5193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
IL
1041C0700X
Clinical Social Worker
Primary
150.108527
IL
1041S0200X
School Social Worker
2553228
IL
Other
Enumeration date
06/11/2022
Last updated
09/11/2022
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