Individual
REBECCA L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
(208) 739-4425
Mailing address
2211 SCHREINER LN, STAR, ID 83669-5168
(208) 994-8486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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