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1124676788
MARCY RICHARDSON
FORT WAYNE, IN
NPI
1124676788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
Ms. MARCY RICHARDSON
9426 LIMA RD STE A
FORT WAYNE, IN 46818-8681
Phone number: 260-497-0328
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Mailing Address
Ms. MARCY RICHARDSON
435 BERCADO CIR APT 27
MISHAWAKA, IN 46544-4148
Phone number: 574-440-5517
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