Individual
ANNIKA DANIELLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
Mailing address
56 HORSESHOE LN, MIDDLETOWN, CT 06457-7921
(917) 362-0154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102646
NY
1041C0700X
Clinical Social Worker
Primary
12453
CT
Other
Enumeration date
10/20/2018
Last updated
09/15/2022
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