Female

Jacquetta S. Richardson

Social Worker in Baltimore, MD(View on Map)

Full Name

Jacquetta S Richardson

NPI Number

1194342824

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/29/2020

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

25947

Contact
Information

Purpose

Mailing
Location

Address

5820 YORK RD
5820 YORK RD

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21212-3610
21212-3610

Country

US
US

Telephone Number

(301) 345-1022
(301) 345-1022

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2020

Provider Address

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