Richardson, Mark William

Richardson, Mark William is an sole proprietor health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Richardson, Mark William can be contacted via phone (973) 926-7741.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (973) 926-7741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05682000 New Jersey

Profile Details

NPI number 1699213785
LBN Legal business name Richardson, Mark William
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2017
Last updated May 11th, 2017 - about 9 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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