Individual
JERI LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 FORBES DR, HOPKINSVILLE, KY 42240
(606) 584-1169
Mailing address
436 HOUSTON OAKS DR, PARIS, KY 40361-2704
(606) 584-1169
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
05/14/2018
Last updated
05/30/2018
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