Individual
JACQUELINE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 RICCI DR, NORTH PROVIDENCE, RI 02911-2418
(401) 300-9949
Mailing address
4 RICCI DR, NORTH PROVIDENCE, RI 02911-2418
(401) 300-9949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02467
RI
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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