Marisa Richardson

NPI #1891229019 in Desloge, Missouri

Provider Information

NPI Number: 1891229019
Entity Type: Individual
Name: Marisa Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 13, 2017
Last Updated: Apr 13, 2017

Practice Location

Address: 601 MEADOWBROOK CT
City: Desloge
State: Missouri
ZIP Code: 63601-3000
Phone: (573) 747-9789

Specialties & Taxonomy Codes

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

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