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Organization
RICHWOOD CONSULTING GROUP PLLC
Active
Organization
RICHWOOD CONSULTING GROUP PLLC
Active
Other names
Counseling for Kids and Teens
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MARIE BRADY LCSW (ORGANIZER AND MEMBER)
(919) 801-0337
Entity
Organization
Contact information
Practice address
839C WAKE FOREST BUSINESS PARK, SUITE C DURHAM HWY, WAKE FOREST, NC 27587-6561
(919) 801-0337
Mailing address
3901 TOYON DR, RALEIGH, NC 27616-8600
(919) 801-0337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002510
—
NC
Enumeration date
04/17/2009
Last updated
04/17/2009
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