DELORIS AVIS RIDDICK

RICHMOND, VA
NPI1427062017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: VA  0904002927)
Enumeration Date2006-07-28
Last Update Date2009-04-13
Business Address
-- DELORIS AVIS RIDDICK LCSW
9702 GAYTON RD # 181
RICHMOND, VA 23238-4907
Phone number: 804-741-7500
Mailing Address
-- DELORIS AVIS RIDDICK LCSW
9702 GAYTON RD # 181
RICHMOND, VA 23238-4907
Phone number: 804-741-7500
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