Individual
CONNIE J RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Mailing address
4925 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 941-9200
(812) 941-9205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1788
KY
1041C0700X
Clinical Social Worker
Primary
34005525A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547020
ANTHEM
IN
Enumeration date
09/03/2006
Last updated
09/03/2014
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