JOHN MARK RICHARDSON

PERRY, IA
NPI1205112448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  00575)
Enumeration Date2011-11-02
Last Update Date2011-11-02
Business Address
Mr. JOHN MARK RICHARDSON LISW
610 10TH ST
PERRY, IA 50220-2221
Phone number: 515-465-7541
Mailing Address
Mr. JOHN MARK RICHARDSON LISW
927 8TH ST
BOONE, IA 50036-2969
Phone number: 515-432-7288