Individual
MELISSA ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CROCKETT ST, BRIDGTON, ME 04009-1302
(207) 595-5209
Mailing address
2 CROCKETT ST, BRIDGTON, ME 04009-1302
(207) 595-5209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LM21223
ME
1041C0700X
Clinical Social Worker
Primary
LC23818
ME
Other
Enumeration date
06/16/2022
Last updated
08/13/2024
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