Individual
STEFANIE REBECCA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 HADDON AVE, COLLINGSWOOD, NJ 08108-1444
(856) 858-9314
Mailing address
19 WENDOVER DR, MOUNT LAUREL, NJ 08054-3327
(856) 802-1223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05212400
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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