Individual
MELISSA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-3657
(608) 785-6315
Mailing address
3167 ELM DR, LA CROSSE, WI 54601-7880
(608) 790-0646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
11238-120
WI
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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