Individual
DIANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ALDEN ST, CRANFORD, NJ 07016-2131
(908) 423-7396
Mailing address
108 ALDEN ST, CRANFORD, NJ 07016-2131
(908) 423-7396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00181900
NJ
1041C0700X
Clinical Social Worker
Primary
44SCO5447000
NJ
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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