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1013454636
MICHAEL CHARLES RICHARDS
FAIRMONT, WV
NPI
1013454636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV BP00944922)
Enumeration Date
2017-01-20
Last Update Date
2017-01-20
Business Address
-- MICHAEL CHARLES RICHARDS LGSW
118 ADAMS ST SUITE 203
FAIRMONT, WV 26554-2841
Phone number: 681-404-6094
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Mailing Address
-- MICHAEL CHARLES RICHARDS LGSW
379 DEAN DR
FAIRMONT, WV 26554-8858
Phone number: 304-366-7288
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