Individual
DANIELLE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
Mailing address
16 BASS COVE CIR, MASHPEE, MA 02649-2071
(508) 274-2029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00944694
WV
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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