Individual
MR. RICHARD RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4100 W.3RD. ST., DAYTON, HI 45384
(937) 268-6511
Mailing address
4100 W.3RD. ST., DAYTON, HI 45384
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0003218
OH
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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