Individual
MRS. CASSANDRA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA EDS
Contact information
Practice address
66 SCHOOL ST, LOGAN, WV 25601-9605
(304) 792-2082
Mailing address
66 SCHOOL STREET, LOGAN, WV 25601
(304) 792-2082
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
A3N129400126
WV
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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