Individual
GINA M RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5955 W MAIN ST, KALAMAZOO, MI 49009-9101
(269) 873-8060
Mailing address
3673 WYNGATE MDW STE 1, GALESBURG, MI 49053-7719
(269) 873-8060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091741
MI
Other
Enumeration date
02/08/2010
Last updated
03/16/2023
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