Individual
JENNIFER RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
904 MOUNT VERNON RD STE A, VIDALIA, GA 30474-3043
(912) 537-0063
(912) 537-2005
Mailing address
PO BOX 2277, VIDALIA, GA 30475-2277
(912) 537-0063
(912) 537-2005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004588
GA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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