Individual
MRS. SHANNON DENISE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
78 CHERWOOD DR, CAMPBELLSVILLE, KY 42718-8728
(270) 469-4138
Mailing address
78 CHERWOOD DR, CAMPBELLSVILLE, KY 42718-8728
(270) 469-4138
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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