CASSANDRA A RIDENOUR

DAVENPORT, IA
NPI1144487182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IA  001094)
Additional Taxonomies104100000X Social Worker
(Licence: IL  180006722)
Enumeration Date2008-05-19
Last Update Date2008-05-19
Business Address
Miss CASSANDRA A RIDENOUR RN IL LCPC IL LMHC I
4455 E 56TH ST
DAVENPORT, IA 52807-2995
Phone number: 563-386-4004
Mailing Address
Miss CASSANDRA A RIDENOUR RN IL LCPC IL LMHC I
4455 EAST 56TH STREET
DAVENPORT, IA 52807
Phone number: 563-386-4004