Individual
NATALIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 W VISTA ST, SUITE 8, SPRINGFIELD, MO 65807-5918
(417) 551-2910
Mailing address
5602 N 13TH AVE, OZARK, MO 65721-6314
(417) 551-2910
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014018438
MO
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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