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Individual

DR. CLAIRISSA RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, LCSW

Contact information

Practice address
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403-5604
(850) 283-2778
Mailing address
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403-5604
(850) 283-2778

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14856
FL

Other

Enumeration date
10/16/2017
Last updated
06/24/2025
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