BRENNEN RIDDICK

ELMIRA, NY
NPI1649501974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  096797)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2010-01-27
Last Update Date2016-06-09
Business Address
-- BRENNEN RIDDICK
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number: 607-733-5696
Mailing Address
-- BRENNEN RIDDICK
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number:
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