Individual
CASEY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C014375
Contact information
Practice address
509 BROAD ST STE C, NEW BERN, NC 28560-4803
(805) 418-0456
Mailing address
1140 AMBERJACK CT, NEW BERN, NC 28562-1019
(805) 418-0456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014375
NC
1041C0700X
Clinical Social Worker
P013296
NC
Other
Enumeration date
02/25/2014
Last updated
01/21/2025
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