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Individual

MRS. LENA C RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.W

Contact information

Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 481-6746
(706) 731-7261
Mailing address
1132 VILLAGE CT, EVANS, GA 30809-5245
(706) 481-6746

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01272300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SC01272300
SOCIAL WORK LISCENSE
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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