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1073801155
ROBERT LEWIS RICHARDSON
ALTADENA, CA
NPI
1073801155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2011-07-11
Last Update Date
2011-07-11
Business Address
-- ROBERT LEWIS RICHARDSON
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
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Mailing Address
-- ROBERT LEWIS RICHARDSON
760 W MOUNTAIN VIEW ST
ALTADENA, CA 91001
Phone number:
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