Individual
JANA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5572 LYNN LAKE DR S APT D, ST PETERSBURG, FL 33712-6218
(727) 503-4770
Mailing address
5572 LYNN LAKE DR S APT D, ST PETERSBURG, FL 33712-6218
(727) 503-4770
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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