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Shyanne Richardson, MSW

Respite Care in Lakewood, CO. Individual provider (NPI-1).

NPI number1154773984
StatusActive
Last updated in NPPESMar 30, 2017

Details

NPI
1154773984
Entity type
Individual (NPI-1)
Name
Shyanne Richardson
Credential
MSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 5, 2016
Last updated
Mar 30, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385H00000X Respite Care16738578COYes
376J00000X Homemaker––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child16738578CO

Practice location

895 Lewis Dr
Lakewood, CO 80215-5724

Phone 303-931-0932

Mailing address

895 Lewis Dr
Lakewood, CO 80215-5724

Phone 303-931-0932

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