Individual
MR. KYLE WAYNE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
10201 GRAND CENTRAL AVE APT 218, OWINGS MILLS, MD 21117-3996
(434) 155-2884
Mailing address
10201 GRAND CENTRAL AVE APT 218, OWINGS MILLS, MD 21117-3996
(443) 415-5288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24123
MD
Other
Enumeration date
09/30/2020
Last updated
06/17/2024
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