Individual
KELLY RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 STEVENS ROAD, SENECA HEALTH SERVICES INC, SUMMERVILLE, WV 26651
(304) 872-2659
(304) 872-1685
Mailing address
1305 WEBSTER ROAD, SENECA HEALTH SERVICES INC, SUMMERVILLE, WV 26651
(304) 872-6577
(304) 872-5415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00942602
WV
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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