Individual
GERALD JOSEPH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
216 MUNSON AVE STE A, TRAVERSE CITY, MI 49686-3099
(616) 301-8000
Mailing address
216 MUNSON AVE STE A, TRAVERSE CITY, MI 49686-3099
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801108406
MI
Other
Enumeration date
11/16/2020
Last updated
10/18/2021
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