Individual
JESSICA LYNNE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
351 BOSTON POST RD, OLD SAYBROOK, CT 06475-1547
(475) 238-0143
Mailing address
341 BOSTON POST RD, OLD SAYBROOK, CT 06475-1551
(475) 238-0143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8231
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/14/2012
Last updated
10/13/2021
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