Individual
MS. ALICIA JEAN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5404 N MONTANA AVE, PORTLAND, OR 97217-4557
(503) 232-0969
(503) 234-2326
Mailing address
5404 N MONTANA AVE, PORTLAND, OR 97217-4557
(503) 232-0969
(503) 234-2326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1851
OR
Other
Enumeration date
07/18/2007
Last updated
10/28/2008
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