Individual
KENDRA BERNITTA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(706) 544-2273
Mailing address
57 LEE ROAD 2212, SMITHS STATION, AL 36877-3392
(256) 653-6340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4222G
AL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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