Individual
MR. SHAWN CHRISTIAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.S.W
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6964
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6964
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000007540
TN
Other
Enumeration date
03/16/2009
Last updated
08/19/2011
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