Mary Ridenoure's National Provider Identifier (NPI) Details
Mary Ridenoure, LCSW
NPI: 1316578644
Enumeration Date: 2020-01-27
Last updated: 2024-11-22
Sole Proprietor: NO
Status: active
Postal Address: 590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX
Phone: 254-553-6622
Primary Practice Address: 590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX
Practice's phone: 254-553-6622