Richard Harrison IV, LICSW
Social Worker, Clinical in Lexington, MA. Individual provider (NPI-1).
NPI number1982185229
StatusActive
Last updated in NPPESAug 24, 2018
Details
- NPI
- 1982185229
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Harrison IV
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2018
- Last updated
- Aug 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 119442 | MA | Yes |
Other names
- Richard Compton Harrison (Other Name)
Practice location
33 Bedford St Ste 11Lexington, MA 02420-4403
Phone 617-949-0859
Mailing address
35 College AveMedford, MA 02155-4562
Phone 617-949-0859
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