Individual
MICHAEL CHARLES RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
118 ADAMS ST, SUITE 203, FAIRMONT, WV 26554-2841
(681) 404-6094
Mailing address
379 DEAN DR, FAIRMONT, WV 26554-8858
(304) 366-7288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00944922
WV
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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