Organization
FOSTER RICHARDSON MENTAL HEALTH COUNSELING
Active
Organization
FOSTER RICHARDSON MENTAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELLA F RICHARDSON LISW-S (OWNER)
(513) 884-2414
Entity
Organization
Contact information
Practice address
3238 VILLAGE DR, FAIRFIELD, OH 45014-8119
(513) 884-2414
Mailing address
3238 VILLAGE DR, FAIRFIELD, OH 45014-8119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1000213
OH
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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