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Individual

JALESA J RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2623 5TH ST N, COLUMBUS, MS 39705-2009
(662) 241-7097
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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Product
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  • Eligibility checks
  • EDI platform