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Individual

MRS. CARMELA ALTAMSES RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLMSW,LPN

Contact information

Practice address
25127 LINDENWOOD LN, SOUTHFIELD, MI 48033-6189
(216) 215-8522
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 308-1400
(313) 308-1600

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0701223
OH
1041C0700X
Clinical Social Worker
6801094881
MI
164W00000X
Licensed Practical Nurse
4703112909
MI
164W00000X
Licensed Practical Nurse
PN.091680
OH

Other

Enumeration date
03/05/2009
Last updated
12/09/2014
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