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1003036823
JATUE RICHARDSON
CHARLESTON, WV
NPI
1003036823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- JATUE RICHARDSON BA
2157 GREENBRIER ST
CHARLESTON, WV 25311-9623
Phone number: 304-344-5924
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Mailing Address
-- JATUE RICHARDSON BA
841 VALLEY DR
DUNBAR, WV 25064-1131
Phone number: 304-344-5924
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