Individual
JENNA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
(863) 455-7049
Mailing address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
(863) 455-7049
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7344
FL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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