PAUL J RICHARDSON

MOODY AFB, GA
NPI1134403918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: HI  LCSW-4074)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2011-09-28
Last Update Date2023-08-09
Business Address
Mr. PAUL J RICHARDSON LCSW
3278 MITCHELL BLVD
MOODY AFB, GA 31699-6600
Phone number: 229-257-5447
Mailing Address
Mr. PAUL J RICHARDSON LCSW
3278 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number: 229-257-5447