Richardson, Uganda Tunisia

Richardson, Uganda Tunisia is an sole proprietor health care provider with primary practice located at 3012 Montgomery St , Hobbs NM 88240-1424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Richardson, Uganda Tunisia can be contacted via phone (405) 204-7813.

Contact Information

Primary practice address
3012 Montgomery St Hobbs NM 88240-1424
Phone: (405) 204-7813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4997 Oklahoma
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12577 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X SWB-2022-0713 New Mexico

Profile Details

NPI number 1437317278
LBN Legal business name Richardson, Uganda Tunisia
Credentials BSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2008
Last updated Jan 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437317278 NPPES
Oregon MEDICAID $$$$$$$$$
Oregon Other $$$$$$$$$
Oregon Other $$$$$$$$$
Oregon Other $$$$$$$$$

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