Individual
MS. MADISON RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26934 N 178TH AVE, SURPRISE, AZ 85387-1075
(623) 224-1214
Mailing address
2354 W UNIVERSITY DR APT 2196, MESA, AZ 85201-5271
(928) 713-1352
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12532
AZ
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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