Individual
DONTE TERRELL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3734 ELBERTA ST, COLUMBIA, SC 29210-4680
(843) 331-4087
Mailing address
3734 ELBERTA ST, COLUMBIA, SC 29210-4680
(843) 331-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17913
SC
Other
Enumeration date
11/09/2023
Last updated
06/26/2025
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