Sandra Richards, LCSW
Social Worker, Clinical in Lakeland, FL. Individual provider (NPI-1).
NPI number1083010367
StatusActive
Last updated in NPPESJun 3, 2015
Details
- NPI
- 1083010367
- Entity type
- Individual (NPI-1)
- Name
- Sandra Richards
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2014
- Last updated
- Jun 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW 12301 | FL | Yes |
Practice location
5110 S Florida AveSuite 105
Lakeland, FL 33813-2512
Phone 863-860-0531 · Fax 863-510-5903
Mailing address
5110 S Florida AveSuite 105
Lakeland, FL 33813-2512
Phone 863-860-0531 · Fax 863-510-5903
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