Individual
BRIDGET DEVOTA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
119 TOWER VIEW LN, OZARK, MO 65721-7144
(712) 213-0109
Mailing address
119 TOWER VIEW LN, OZARK, MO 65721-7144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
099966
IA
1041C0700X
Clinical Social Worker
2020025791
MO
1041C0700X
Clinical Social Worker
Primary
2023000631
MO
Other
Enumeration date
07/14/2020
Last updated
02/13/2024
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