Individual
SHYANNE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
895 LEWIS DR, LAKEWOOD, CO 80215-5724
(303) 931-0932
Mailing address
895 LEWIS DR, LAKEWOOD, CO 80215-5724
(303) 931-0932
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
—
385H00000X
Respite Care
Primary
16738578
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
16738578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16738578
—
CO
Enumeration date
07/05/2016
Last updated
03/30/2017
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