Shawn Kristen Richardson, LMSW
Social Worker, Clinical in Southfield, MI. Individual provider (NPI-1).
NPI number1164089066
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1164089066
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawn Kristen Richardson
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2019
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801081235 | MI | Yes |
Practice location
15700 W 10 Mile Rd Ste 106Southfield, MI 48075-2100
Phone 989-225-4111 · Fax 248-575-4555
Mailing address
4500 Easton RdOwosso, MI 48867-9639
Phone 989-277-0658
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