Individual
EMILY ELENA RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
26 OAKENGATES, AVON, CT 06001-2640
(860) 829-7344
Mailing address
26 OAKENGATES, AVON, CT 06001-2640
(860) 829-7344
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3783
CT
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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