Individual
MR. CHARLES RICHARDS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 COLUMBIA ST, HUDSON, NY 12534-1902
(518) 859-3238
Mailing address
325 COLUMBIA ST, HUDSON, NY 12534-1902
(518) 859-3238
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146002564
—
NY
Enumeration date
12/28/2020
Last updated
12/28/2020
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