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Organization
MICHELLE RICHARDSON, LCSW LLC
Active
Organization
MICHELLE RICHARDSON, LCSW LLC
Active
Other names
Mindful Soul Center for Wellbeing
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RICHARDSON MSW, LCSW (EXECUTIVE DIRECTOR)
(609) 238-9928
Entity
Organization
Contact information
Practice address
739 S WHITE HORSE PIKE, STE. 10, AUDUBON, NJ 08106-1659
(856) 617-4544
Mailing address
1111 COLLINGS AVE, HADDON TOWNSHIP, NJ 08107-1811
(609) 238-9928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05386700
NJ
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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