MRS. Latisha Jo Richeson, MSW, LCSW

NPI #1780213397 in Unionville, Missouri

Provider Information

NPI Number: 1780213397
Entity Type: Individual
Name: MRS. Latisha Jo Richeson, MSW, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Apr 6, 2020
Last Updated: Apr 6, 2020

Practice Location

Address: 1926 OAK ST
City: Unionville
State: Missouri
ZIP Code: 63565-1180
Phone: (660) 947-3673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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