Individual
JAMIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 DUNDEE RD STE 101, NORTHBROOK, IL 60062-2462
(847) 919-9096
Mailing address
1310 N HOYNE AVE UNIT 1, CHICAGO, IL 60622-3017
(224) 406-6713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.110147
IL
1041S0200X
School Social Worker
1177401
IL
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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