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1104329986
SAMANTHA I RICHARDSON
CORDOVA, TN
NPI
1104329986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 4179)
Enumeration Date
2018-03-17
Last Update Date
2019-04-23
Business Address
Mrs. SAMANTHA I RICHARDSON LPC-MHSP
52 TIMBER CREEK DR STE 203
CORDOVA, TN 38018-4388
Phone number: 662-832-7165
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Mailing Address
Mrs. SAMANTHA I RICHARDSON LPC-MHSP
52 TIMBER CREEK DR STE 101
CORDOVA, TN 38018-4359
Phone number: 662-536-6210
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