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1083135149
ANDREA ELISE RICHARDSON
SAN DIEGO, CA
NPI
1083135149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-29
Last Update Date
2023-04-04
Business Address
ANDREA ELISE RICHARDSON
5650 MOUNT ACKERLY DR
SAN DIEGO, CA 92111-4016
Phone number: 858-496-8205
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Mailing Address
ANDREA ELISE RICHARDSON
2351 CARDINAL LN # B
SAN DIEGO, CA 92123-3743
Phone number: 858-573-2227
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