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1811924509
JACK RICHARDSON
TALLAHASSEE, FL
NPI
1811924509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW 4326)
Enumeration Date
2006-06-27
Last Update Date
2015-03-12
Business Address
-- JACK RICHARDSON LCSW
2724 CAPITAL CIR NE SUITE 8
TALLAHASSEE, FL 32308-1118
Phone number: 850-656-5112
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Mailing Address
-- JACK RICHARDSON LCSW
2724 CAPITAL CIR NE SUITE 8
TALLAHASSEE, FL 32308-1118
Phone number: 850-656-5112
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