Individual
PORSHURE GREEN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10043 CAMERON RIDGE TRL, CORDOVA, TN 38016-7128
(601) 850-8283
Mailing address
10043 CAMERON RIDGE TRL, CORDOVA, TN 38016-7128
(601) 850-8283
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8942
TN
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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