Individual
MS. ALICIA RENEE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
758 TYVOLA RD, CHARLOTTE, NC 28217-3508
(704) 890-0744
(704) 849-8189
Mailing address
PO BOX 470727, CHARLOTTE, NC 28247-0727
(704) 890-0744
(704) 849-8189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006675
NC
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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