Individual
KAREN ELISE RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, DSW
Contact information
Practice address
2410 GRAPE RD STE 6, MISHAWAKA, IN 46545-3015
(574) 217-0128
(574) 288-3447
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(606) 328-5153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006071A
IN
1041C0700X
Clinical Social Worker
3492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34006071A
LCSW
IN
Enumeration date
12/15/2011
Last updated
11/06/2024
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