Individual
JEFFRY RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 NE 199ST, 201, MIAMI GARDENS, FL 33179
(561) 497-4760
Mailing address
929 NE 199ST, 201, MIAMI GARDENS, FL 33179
(561) 497-4760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
07/13/2026
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