Individual
MISS JESSICA ELLEN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
126 ATLANTA ST, PADUCAH, KY 42003-5508
(270) 519-0257
Mailing address
126 ATLANTA ST, PADUCAH, KY 42003-5508
(270) 519-0257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4405
KY
Other
Enumeration date
05/15/2014
Last updated
03/16/2015
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