Individual
MS. HEIDI MARIE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 E 5600 S STE 102, MURRAY, UT 84107-8103
(801) 268-2887
(801) 268-4295
Mailing address
111 E 5600 S STE 102, MURRAY, UT 84107-8103
(801) 268-2887
(801) 268-4295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6751345-3501
UT
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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