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1801272208
PHILLIP RIDDICK
NEWPORT NEWS, VA
NPI
1801272208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009046)
Enumeration Date
2015-08-07
Last Update Date
2015-08-07
Business Address
-- PHILLIP RIDDICK LCSW
733 THIMBLE SHOALS BLVD STE. 170
NEWPORT NEWS, VA 23606-4260
Phone number: 757-301-1314
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Mailing Address
-- PHILLIP RIDDICK LCSW
2121B KELLER AVE
NORFOLK, VA 23504-3106
Phone number: 757-679-2583
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