Individual
MS. LISA DENISE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW CP
Contact information
Practice address
508 AIRDALE LN, SIMPSONVILLE, SC 29680-7822
(864) 906-1572
Mailing address
508 AIRDALE LN, SIMPSONVILLE, SC 29680-7822
(864) 906-1572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5214
SC
Other
Enumeration date
06/14/2006
Last updated
05/11/2011
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