Individual
CARESSA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
Mailing address
1305 CENTRAL AVE, CHARLOTTE, NC 28205-5183
(860) 819-5507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
NC
Enumeration date
03/30/2018
Last updated
02/28/2022
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