Individual
JACQUELINE E RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
3084 HENDERSON MILL RD, ATLANTA, GA 30341-5638
(404) 212-1144
Mailing address
3084 HENDERSON MILL RD, ATLANTA, GA 30341-5638
(404) 212-1144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003217291A
—
GA
05
—
52-2372108
—
GA
Enumeration date
02/10/2022
Last updated
02/10/2022
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