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Randall Rider, MS, LSW, LMFT
NPI 1982737722 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4235 Flagstaff Cove
Fort Wayne, IN 46815 - Phone
- (260) 969-6600
- Organisation at this address
- Bridges Emotional Wellness Clinic, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Marriage & Family Therapist
106H00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana