Organization
ANEW JULIE RIDDLE MSW LICSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RIDDLE MSW, LICSW (OWNER)
(701) 248-6040
Entity
Organization
Contact information
Practice address
117 N WASHINGTON ST STE C, GRAND FORKS, ND 58203-3450
(701) 248-6040
Mailing address
117 N WASHINGTON ST STE C, GRAND FORKS, ND 58203-3450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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