Individual
JORDAN R RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 SCREECH OWL RD, WAXHAW, NC 28173-7171
(704) 241-1853
Mailing address
1413 SCREECH OWL RD, WAXHAW, NC 28173-7171
(704) 241-1853
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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