Individual
DANIELLE TINA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6502 MARGARET CT, INDIAN TRAIL, NC 28079-9536
(704) 779-0810
Mailing address
6502 MARGARET CT, INDIAN TRAIL, NC 28079-9536
(704) 779-0810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009059
NC
Other
Enumeration date
08/27/2008
Last updated
01/12/2015
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