Individual
MRS. KATHLEEN LOGAN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
(501) 686-9576
Mailing address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9300
(501) 686-9576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2116-C
AR
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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