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Individual
ED RICHERT
Active
Individual
ED RICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 9212
CA
106H00000X
Marriage & Family Therapist
MFC 17059
CA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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