Individual
CARRAH ROSE RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3525 S MICHIGAN AVE, CHICAGO, IL 60653-1019
(312) 945-4010
Mailing address
1606 E HYDE PARK BLVD, UNIT 5B, CHICAGO, IL 60615-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016131
IL
Other
Enumeration date
11/22/2016
Last updated
08/02/2022
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