| Melissa Richardson Lcsw Llc | |
|
2 Crockett St Bridgton ME 04009-1302 | |
| (207) 595-5209 | |
| Not Available |
| Full Name | Melissa Richardson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2 Crockett St, Bridgton, Maine |
| Authorized Official Name and Position | Melissa Richardson (OWNER) |
| Authorized Official Contact | 2075955209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Richardson Lcsw Llc 2 Crockett St Bridgton ME 04009-1302 Ph: (207) 595-5209 | Melissa Richardson Lcsw Llc 2 Crockett St Bridgton ME 04009-1302 Ph: (207) 595-5209 |
| NPI Number | 1689408023 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689408023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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