Individual
MITZI RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1420 KANAWHA BLVD W, CHARLESTON, WV 25387-2537
(304) 344-3403
(304) 414-0157
Mailing address
1420 KANAWHA BLVD W, CHARLESTON, WV 25387-2537
(304) 343-3403
(304) 414-0157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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