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Individual

MELISSA RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
80 FABIEN ST, WOONSOCKET, RI 02895-6277
(401) 309-3642
(401) 769-6046
Mailing address
1 CUMBERLAND ST, 3RD FLOOR, WOONSOCKET, RI 02895-3327
(401) 309-3642
(401) 769-6046

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5190
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5190
MA
Enumeration date
09/22/2010
Last updated
09/22/2010
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