Individual
MR. RICHARD BRITTON DE SHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1713 6TH AVE S, BIRMINGHAM, AL 35294-0001
(205) 934-4107
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
B-05862
NM
1041C0700X
Clinical Social Worker
Primary
4115C
AL
Other
Enumeration date
01/10/2007
Last updated
08/23/2023
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