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1407174287
ROBERT RIDDICK
WATERBURY, CT
NPI
1407174287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-04
Last Update Date
2010-06-02
Business Address
Mr. ROBERT RIDDICK Case Manager
142 GRIGGS STREET
WATERBURY, CT 06702-1701
Phone number: 203-574-1419
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Mailing Address
Mr. ROBERT RIDDICK Case Manager
402 E MAIN ST
WATERBURY, CT 06702-1701
Phone number: 203-755-1143
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