Individual
SAMANTHA KELLY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
925 HOOD DR W, SOUTHSIDE, AL 35907-7001
(256) 770-9700
Mailing address
925 HOOD DR W, SOUTHSIDE, AL 35907-7001
(256) 770-9700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6266G
AL
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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