Individual
COREY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
125 SAINT PAUL ST STE 106, BURLINGTON, VT 05401-8686
(802) 598-9491
Mailing address
32 HOWARD ST, BURLINGTON, VT 05401-4804
(802) 598-9491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0135020
VT
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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