Individual
ROSE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
5200 PARK RD, SUITE 219, CHARLOTTE, NC 28209-3650
(704) 705-4550
Mailing address
3445 WYNINGTON DR, CHARLOTTE, NC 28226-1110
(704) 575-6647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10095A
NC
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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