Individual
JONELLE MARIE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7100 SW HAMPTON ST, SUITE 128, TIGARD, OR 97223-8315
(503) 639-2390
(503) 598-7055
Mailing address
7100 SW HAMPTON ST, SUITE 128, TIGARD, OR 97223-8315
(503) 639-2390
(503) 598-7055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1568
OR
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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