Individual
MR. PAUL J RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-6600
(229) 257-5447
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-5447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4074
HI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/28/2011
Last updated
08/09/2023
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