Individual
KEITH RICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
180 WESTBROOK RD, ESSEX, CT 06426-1517
(860) 767-2025
(860) 767-1053
Mailing address
222 MAIN STREET EXT, PO BOX 1000, MIDDLETOWN, CT 06457-4406
(860) 343-5300
(860) 343-5307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005287
CT
Other
Enumeration date
05/23/2006
Last updated
05/25/2016
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