Individual
JACQUELINE SARAH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9322 SAPPINGTON RD, SAINT LOUIS, MO 63126-3043
(314) 488-0877
Mailing address
9322 SAPPINGTON RD, SAINT LOUIS, MO 63126-3043
(314) 488-0877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003028754
MO
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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