Individual
SHNICKA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 GRAY BIRCH DR, DECATUR, GA 30034-7320
(678) 698-3472
Mailing address
3662 GRAY BIRCH DR, DECATUR, GA 30034-7320
(678) 698-3472
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
PCH012143
GA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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