Individual
MICHAELE RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 331-0057
Mailing address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 331-0057
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01103
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31110
BLUE CROSS
RI
Enumeration date
09/27/2006
Last updated
06/09/2009
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