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Individual

TRISHA R RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1524 REMSING ST, HARTLAND, MI 48353-3447
(734) 735-2835
Mailing address
1524 REMSING ST, HARTLAND, MI 48353-3447

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4631
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2798
STATE OF COLORADO
CO
Enumeration date
08/29/2017
Last updated
02/24/2022
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