THERONE RICHARDSON

DETROIT, MI
NPI1073717906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6802080295)
Enumeration Date2007-06-13
Last Update Date2007-07-08
Business Address
-- THERONE RICHARDSON LBSW
4700 TIREMAN ST RM 111
DETROIT, MI 48204-4243
Phone number: 313-897-5961
Mailing Address
-- THERONE RICHARDSON LBSW
15833 VAUGHAN ST
DETROIT, MI 48223-1250
Phone number: