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Individual

MRS. JAMESENA CARISA RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.SW, MSSA

Contact information

Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102
(216) 696-5800
(216) 521-5006
Mailing address
10427 DETROIT AVE, CLEVELAND, OH 44102-1645
(216) 696-5800
(216) 521-5006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0021125
OH

Other

Enumeration date
04/11/2011
Last updated
06/29/2018
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