Individual
JANE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
564 N IDAHO RD, APACHE JUNCTION, AZ 85219-4002
(480) 983-0065
(480) 983-3676
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-3160
(480) 474-5618
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12723
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
08/04/2009
Last updated
08/04/2009
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