Marisa Sue Ridley, LCSW
NPI #1104402155 in Malmstrom Afb, Montana
Provider Information
- NPI Number
- 1104402155
- Entity Type
- Individual
- Name
- Marisa Sue Ridley, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 21, 2021
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- 7300 N PERIMETER RD
- City
- Malmstrom Afb
- State
- Montana
- ZIP Code
- 59402-6701
- Phone
- (406) 731-3218
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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