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Individual

SHELBY JORDAN RIDENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
420 E POLK ST, WASHINGTON, IA 52353-1237
(319) 217-0023
Mailing address
2596 IOWA AVE, MOUNT PLEASANT, IA 52641-8202
(319) 217-0023

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
133852
IA

Other

Enumeration date
01/23/2026
Last updated
01/23/2026
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