Individual
HEATHER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9768838
TN
Other
Enumeration date
03/05/2018
Last updated
03/08/2018
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