Individual
GERALD RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
23909 W RENWICK RD STE 115, PLAINFIELD, IL 60544-2109
(815) 714-8847
Mailing address
23909 W RENWICK RD STE 115, PLAINFIELD, IL 60544-2109
(815) 714-8847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150114911
IL
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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