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Individual
MS. MARY C. RICHARDSON
Active
Individual
MS. MARY C. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
904
NC
1041C0700X
Clinical Social Worker
Primary
C004400
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140MN
BCBS OF NORTH CAROLINA
NC
05
—
6106049
—
NC
Enumeration date
11/08/2006
Last updated
11/12/2018
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