DUSTIN RICHARDSON

GLEN BURNIE, MD
NPI1073052445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MD  LC7682)
Enumeration Date2017-02-18
Last Update Date2017-02-18
Business Address
-- DUSTIN RICHARDSON LCPC
1406 CRAIN HWY S STE 104
GLEN BURNIE, MD 21061-4086
Phone number: 410-766-6624
Mailing Address
-- DUSTIN RICHARDSON LCPC
3643 CHILDRESS TER
BURTONSVILLE, MD 20866-2038
Phone number: 410-938-0636
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