Individual
SOPHIA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 CARLETON ST, PORTLAND, ME 04102-3264
(207) 239-6607
Mailing address
56 CARLETON ST, PORTLAND, ME 04102-3264
(207) 239-6607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23163
ME
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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