Individual
MICHELLE RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
105 E AMITY ST, LOUISBURG, KS 66053-4076
(913) 837-4653
Mailing address
105 E AMITY ST, LOUISBURG, KS 66053-4076
(913) 837-4653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11077
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11077
PRIVATE INSURANCE'S
KS
Enumeration date
11/13/2020
Last updated
11/13/2020
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