Individual
MRS. JENNIFER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
48 PUBLIC SQ, LEITCHFIELD, KY 42754-1105
(270) 259-0004
Mailing address
404 NEVIS DR, ELIZABETHTOWN, KY 42701-9155
(270) 317-7557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7595
KY
Other
Enumeration date
01/17/2016
Last updated
01/17/2016
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