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1295416840
IAN C RIDDELL
WESTBROOK, ME
NPI
1295416840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC23029)
Enumeration Date
2023-07-27
Last Update Date
2023-12-27
Business Address
IAN C RIDDELL LMSW
123 ANDOVER RD
WESTBROOK, ME 04092-3848
Phone number: 207-661-6157
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Mailing Address
IAN C RIDDELL LMSW
123 ANDOVER RD
WESTBROOK, ME 04092-3848
Phone number: 207-661-6157
Copy
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