Individual
JEFFRY RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17010 NE 6TH CT, NORTH MIAMI BEACH, FL 33162-2416
(786) 748-7460
Mailing address
1825 NW 167TH ST UNIT 102, MIAMI GARDENS, FL 33056-4838
(786) 748-7460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/11/2024
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