Mrs. Stacey Richardson, DTA
Mrs. Stacey Richardson, DTA is a Developmental Therapist in Country Club Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
17736 Sycamore AveCountry Club Hills, IL 60478-4870
Phone: (708) 408-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence SR39520701A (IL) |
|---|
Record details
| NPI number | 1740498930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DTA |
| Sole proprietor | No |
| NPI enumerated | May 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
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