TRACEY MICHELLE JORDAN-RICHARDSON

AUGUSTA, GA
NPI1093368763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-22
Last Update Date2019-07-22
Business Address
TRACEY MICHELLE JORDAN-RICHARDSON
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
Mailing Address
TRACEY MICHELLE JORDAN-RICHARDSON
2357 TOBACCO RD
AUGUSTA, GA 30906-9220
Phone number: 706-722-3855
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