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1205166972
DALE RYDER
PRESCOTT, AZ
NPI
1205166972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW10344)
Enumeration Date
2010-01-01
Last Update Date
2010-01-01
Business Address
-- DALE RYDER LCSW
4715 S PONDEROSA PARK RD
PRESCOTT, AZ 86303-6146
Phone number: 928-925-3191
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Mailing Address
-- DALE RYDER LCSW
4715 S PONDEROSA PARK RD
PRESCOTT, AZ 86303-6146
Phone number: 928-925-3191
Copy
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