Individual
JANIS RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0198
Mailing address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-0198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005089
MO
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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