Individual
MS. RONDA T. ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1547 JERRY CLOWER BLVD, YAZOO CITY, MS 39194-2718
(662) 746-6532
(662) 746-7143
Mailing address
152 RAULSTON DR, BYRAM, MS 39272-9243
(601) 373-0311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C4656
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00682563
—
MS
Enumeration date
06/05/2007
Last updated
07/09/2007
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