Individual
ELISE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
1322 CYNTHIA ST, LAWRENCE, KS 66049-3416
(913) 909-2918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8808
KS
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/31/2011
Last updated
07/31/2014
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