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1134171028
TAMARA DIANE RICHARDSON
PINEVILLE, LA
NPI
1134171028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3774)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Ms. TAMARA DIANE RICHARDSON LCSW
2495 SHREVEPORT HWY
PINEVILLE, LA 71360-4044
Phone number: 318-473-0010
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Mailing Address
Ms. TAMARA DIANE RICHARDSON LCSW
533 VERSAILLES BLVD APARTMENT D
ALEXANDRIA, LA 71303-2565
Phone number: 318-445-3976
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