Individual
DENISE NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., MHPP
Contact information
Practice address
4354 STOCKTON DR, NORTH LITTLE ROCK, AR 72117-2917
(501) 955-7600
(501) 955-7612
Mailing address
PO BOX 15968, LITTLE ROCK, AR 72231-5968
(501) 221-1843
(501) 221-2376
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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