Individual
MRS. MARY RIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17143 LINDA WAY, NOBLESVILLE, IN 46062-7128
(847) 987-3795
Mailing address
17143 LINDA WAY, NOBLESVILLE, IN 46062-7128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007319A
IN
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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