Theresa Marlene Ridley, LCSWC
Social Worker, Clinical in Baltimore, MD. Individual provider (NPI-1).
NPI number1447474366
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447474366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Marlene Ridley
- Credential
- LCSWC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L12650 | MD | Yes |
Practice location
5602 Baltimore National PikeBaltimore, MD 21228
Phone 443-722-4055 · Fax 410-744-3326
Mailing address
526 Gwynnwest RoadReiserstown, MD 21136
Phone 443-722-4055
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