Individual
ASHLEY RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1022 MAIN ST STE B, DUNEDIN, FL 34698-5237
(727) 379-2273
Mailing address
235 SAN SALVADOR DR, DUNEDIN, FL 34698-4232
(727) 776-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW6253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811525700
—
FL
Enumeration date
06/25/2007
Last updated
09/15/2022
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