CAROLYN RICHESON

FORT WAYNE, IN
NPI1629189345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: IN  34003654A)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Mrs. CAROLYN RICHESON MSW LCSW ACSW
2121 LAKE AVE VA NORTHERN INDIANA
FORT WAYNE, IN 46808
Phone number: 260-426-5431
Mailing Address
Mrs. CAROLYN RICHESON MSW LCSW ACSW
2121 LAKE AVE
FORT WAYNE, IN 46805
Phone number: 260-426-5431
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