Richardson, Clairissa
Richardson, Clairissa is an sole proprietor health care provider with primary practice located at 340 Magnolia Cir , Tyndall Afb FL 32403-5604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Richardson, Clairissa can be contacted via phone (850) 559-9169.Contact Information
Primary practice address
340 Magnolia Cir
Tyndall Afb FL 32403-5604
Phone: (850) 559-9169
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1619488806 |
|---|---|
| LBN Legal business name | Richardson, Clairissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2017 |
| Last updated | May 3rd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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