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1427062017
DELORIS AVIS RIDDICK
RICHMOND, VA
NPI
1427062017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904002927)
Enumeration Date
2006-07-28
Last Update Date
2009-04-13
Business Address
-- DELORIS AVIS RIDDICK LCSW
9702 GAYTON RD # 181
RICHMOND, VA 23238-4907
Phone number: 804-741-7500
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Mailing Address
-- DELORIS AVIS RIDDICK LCSW
9702 GAYTON RD # 181
RICHMOND, VA 23238-4907
Phone number: 804-741-7500
Copy
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